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Practice Name

Comprehensive Pain Clinic of Portland

Social Media
Primary Location
6105 SW Macadam Ave
Portland, OR 97239
Phone: 503-244-3389
Fax: 503-244-4855

Office Hours

DayMorningAfternoon
Monday9 - 122 - 6
TuesdayClosed
Wednesday9 - 122 - 6
ThursdayClosed
Friday9 - 122 - 6
SaturdayClosed
SundayClosed
Main Content

In order to provide you the best possible wellness care, please complete this form

Patient Data

Mailing Address

Current Complaints

Nature of Injury

Insurance Information

*If an auto accident, please provide:

Signatures

Name of the Insured _____________________________________________

I understand and agree that health/accident insurance policies are an arrangement between an insurance carrier and myself. I understand and agree that all services rendered to me and charged are my personal responsibility for timely payment. I understand that if I suspend or terminate my care/treatment, any fees for professional services rendered to me will be immediately due and payable.

Patient's signature _______________________________________________

Date ____________________

Spouse's or guardian's signature __________________________________

Date ____________________

Medical History

Have you ever:

Family History

Habits

Have you ever suffered from:

Exclusive Offer

New patients receive a Free Consultation.

Sign-up using the form or call us at 503-244-3389 to take advantage of this exclusive offer.

Name: *
Email: *
Phone: *

Our Services

Services We strive to provide complete care for our patients. Learn more about all the services we provide. Make An Appointment We will do our best to accommodate your busy schedule. Schedule an appointment today! Online Forms Our patient forms are available online so they can be completed in the convenience of your own home or office.

Testimonial

I did 15 years of various treatments for my back before meeting Dr. Clark! He was the first person to correctly identify and successfully treat what was causing my pain.

- D. Anthony / Portland, OR

Office Hours

DayMorningAfternoon
Monday9 - 122 - 6
TuesdayClosed
Wednesday9 - 122 - 6
ThursdayClosed
Friday9 - 122 - 6
SaturdayClosed
SundayClosed

Meet Our Doctors

Meet Dr. Michael White, M.D.

Education: OHSU Medical School

21 years in Emergency and Immediate Care

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Meet Dr. Dean Clark, D.C., C.C.S.P.

Olympic Team 2000, 2008, 2012

Medical Staff Board Certified in Sports Injuries and Infrared Imaging

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