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Patient & Provider Forms

 

New Patient Paperwork:

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

  • For Patients
TitleDescriptionSizeDownload
PT New Patient Paperwork 06-2020 910.07 KB DownloadPreview
OT New Patient Paperwork 06-2020 1.33 MB DownloadPreview
NOTICE OF PRIVACY POLICIES 128.19 KB DownloadPreview

Patient Information:

  • Patient Information
TitleDescriptionSizeDownload
Attendance Policy 203.60 KB DownloadPreview
Important Information 49.75 KB DownloadPreview
Pool Information 39.25 KB DownloadPreview
Transitional Gym 116.61 KB DownloadPreview
Treatment Information 95.20 KB DownloadPreview

For Providers: Referral/Prescription Form:

The document below is to be used only by a Physician or other provider to prescribe a Plan of Care at Mountain Valley Therapy.

  • For Providers
TitleDescriptionSizeDownload
Mountain-Valley-Referral-Form 295.21 KB DownloadPreview

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OUR MISSION

To create a supportive environment in which employees can achieve their professional, personal, and spiritual goals and potential.

To provide clients with the highest quality, individualized, therapeutic care to reduce symptoms and maximize their functional abilities and hence quality of life.

To promote active participation in our community by all employees.

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CONTACT US

2519 Cove Avenue
La Grande, OR 97850
(541) 962-0830

OUR VISION

We use our passion to empower all people to experience the full joy of living.