Forms & Information

Forms Instructions

New Patient Forms: PMG-Hood River Family Medicine

To prepare for your visit with Dr. Ralph Carter, Dr. Janet Sjoblom, Dr. Maria Czarnecki or Dr. Mike Harris, please bring this completed form with you for your initial appointment. In addition we will also need your photo ID and current medical insurance card.

New Patient Forms: PMG-Hood River Internal Medicine

For appointments with Jodi Ready, Gary Regalbuto or Stephen Vogt. Please bring the following to your appointment: Photo ID, current medical insurance card, completed new patient forms and current medications you are taking, in their original containers.

New Patient Forms: PMG-Hood River Women's Clinic

To prepare for your visit with Dr. Elaine Adsit, Michele Bouche CNM, or Dr. Robin Henson please bring this completed form with you for your initial appointment. In addition we will also need your photo ID and current medical insurance card.

Preventative Care Schedule

Providence Medical Group would like to offer a schedule of preventative care services for you to consider. Under normal circumstances, this is a reasonable framework, but individual situations differ. If you have any questions, be sure to talk to your primary care provider to determine if this schedule is right for you.

Providence Tanasbourne Campus Map

Providence Tanasbourne offers a wide variety of services—family medicine, immediate care, pharmacy, rehabilitation therapy, medical imaging, day surgery and more—in one location.

Proprietary Health Article

Six things your doctor needs to know

Most of us end up in the doctor’s office because of something specific: Something hurts. Something feels funky. Some new symptom is worrisome. So what do we do during our visit? We talk to our doctor about this one specific thing. But what about the bigger picture?