Online Forms

Dr. Niles Online Forms

Secure Online Forms

For your convenience we have provided an interactive PDF of the Patient Information Form for you to fill out and submit online or you may choose to download the form for manual submission by fax, mail or delivery to the office. If you have any questions, please call us directly at (541) 484-1943. Click on the form links below to access that online form.


New Patient Information Form page 1
(PDF version)

New Patient Information Form page 2
(PDF version)

Watch our Welcome Video