Note: If this is the first time you are seeing us at Lake Oswego GYN, you will need to download and complete the following forms and bring them with you, in addition to your current health insurance card(s).
If you have seen Dr. Salisbury or Dr. Zaander in the past and would like to have your medical records transferred to this office, please also download the Medical Records Release Form and fax it to the appropriate clinic prior to your appointment.
- New Patient Welcome Letter
- Health history LO
- Patient Demographics Form
- Patient Acknowledgement and Signature Form
- Medical Records Release Form
- Family History Questionnaire
Insurance Plans we accept – CHECK WITH YOUR PLAN TO CONFIRM THAT WE ARE A PROVIDER. Plans are always changing.
- Aetna
- Blue Cross Blue Shield
- CareOregon
- Caremark PPO
- Coventry
- Family Care OHP
- First Choice Health
- First Health
- Healthcare Direct
- Healthnet Medicare Advantage
- Healthnet of Oregon
- HMA
- Humana ChoiceCare
- Lifewise
- Premera Blue Cross
- MHN
- Medicare
- Medicaid
- Multi-Plan
- MODA
- Pacificare
- PacificSource
- PHCS
- Providence EPO/PPO
- Providence OHP
- Providence Medicare Advantage
- Providence Preferred
- Regence Blue Cross Blue Shield of Oregon
- Regence MedAdvantage
- Secure Horizons
- Tricare
- United Healthcare
- Cigna/Great West
This is a general list of contracted insurance plans and may not represent all plans we accept. Please contact us if you do not see your plan listed.