Patient and Provider Forms

NEW PATIENT PAPERWORK

For your convenience, please click on the Patient Paperwork document above to download, print, and fill in the pertinent information before your initial visit.

 

FOR PROVIDERS: REFERRAL/PRESCRIPTION FORM

Referral Form for WebsiteThe document above is to be used only by a Physician or other provider to prescribe a Plan of Care at Mountain Valley Therapy.

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Hours/Contact/Payments

Monday - Thursday: 7:00 am - 5:30 pm
Friday: 7:00 am - 4:00 pm
2519 Cove Avenue
La Grande, OR 97850
(541) 962-0830 - Office
(541) 975-2720 - Fax

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