New Patient Application:

Portland Clinic of Natural Health is a Specialty Clinic. We screen all new patients to make sure we're a good match. Please schedule your New Patient Appointment (60 min for Naturopath/DNP) below and fill out our pre-screening questionnaire. We'll review your application and send you a confirmation email for your appointment if we're a good fit!

*If you've filled out an application in the past or been seen at our office before, please schedule using the 'Current Patient' tab.

*New Patients: Please do not add yourself to our waitlist. You can leave us a message in the reason section that you'd like to be added to our waitlist once you've booked an available appointment.

**PCNH does not generally accept Medicaid or any Medicare, with one exception: Dr. Maria Reebs, DNP-FNP is now accepting CareOregon on an out-of-network basis
**Dr. Ben is now accepting new Oregon patients

Review Our Rates/Insurance & Fees Review Our New Patient Process

"*" indicates required fields

New Patient Application - Step 1

First Name*

Last Name*

Nickname/Preferred Name

Date of Birth*

Phone*

Email*

Address*

Street Address Address Line 2 City State ZIP Code

Note on Communications

Communication from our clinic is primarily delivered via email. You must have an active email address to move forward with our New Patient Process. Our main method of communication with our patients is through email. Thank you!

What are your preferred methods of additional communication? (Check all that apply)*

Text

Phone Call

Note :: You must have an active email address to move forward with our New Patient Process. Our main method of communication with our patients is through email. Thank you!

Will you be using an insurance plan with benefits/coverage or will you be an out-of-pocket/cash-paying/non-insurance patient?*

Who is your insurance carrier?*

Heads up!

Unfortunately, we do not accept your indicated insurance plan. If you'd like to move forward in becoming our new patient, you will be considered an out-of-pocket patient and pay our cash rates. Payment Plans are available for those who need them!

I understand that I will be an out-of-pocket patient and that PCNH does not accept my insurance*

I understand

Do you have a preference on practitioner?*

Why are you seeking care here at PCNH?*

How did you hear about the Portland Clinic of Natural Health?*

Please add me to the Modern Vital Supplements email list!

I would like to receive updates, information, and promotions about Modern Vital supplements.

New Patient Application - Step 1

Note on Communications

Heads up!

Patients w/ Insurance: Accepted Insurance Plans

Patients w/o Insurance

For All Patients

What our Patients say about us

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