New Patient Forms

Please download and complete these forms prior to your first visit. Then choose one of these methods for submission:

1. Print and bring to your appointment

2. Email to:

3. Fax to the office @ 541-808-3813. 

Virtual Visits

If you have been scheduled with a Telehealth visit, please fill out this mood sheet prior to your appointment:

Telehealth Appointments:

1. Must be approved by office

2.Please make sure we have the correct email

3.We use the zoom platform and will send a link in the email

4. Please understand that appointments can run long, allow at least 10 minutes after appointment time.

Appointment Policy

We at Compass Rose do our best to value your time and uphold your appointments. We ask that our patients do the same.

If you need to reschedule an appointment please do so 24 hrs in advance.

No shows are subject to a $50 fee as stated in our contract.

Prescription policy

For prescription refills please call your pharmacy unless it is a controlled substance or you are out of refills. Call 541-252-8775 and leave your name and prescription needed. 

Reminder: it will take 48 hours for us and the pharmacy to process your request so please plan accordingly. We do not take requests on weekends or Holidays.

Best forms of Contact

  • For appointment rescheduling (24 hours in advance), New patients, or General questions contact our Appointment Line 541-252-8775

  • For Prescription refill requests you may contact the appointment or our office number, however we are not in office Mondays and Tuesdays.

  • On the day of your appointment, if you need to reschedule or cancel last minute, need to inform us you will be late, or need directions please contact the office number at 541-808-3161

  • For questions regarding insurance, billing, or medical questions please contact the office directly.

Insurance Information:

We accept the following insurances as In-Network providers- United(UMR), Blue-cross Blue shield(Regence), Moda, Pacific Source, CIGNA, First Choice Health, providence, and Aetna. 

We can also accept other insurances as Out-of-Network providers, this may cause some out of pocket fees or copay's. It's best to contact your insurance and see in advance.

*at this time we do not accept OHP, Medicare, Tricare/VA. Thank you*