Appointments: 541-322-2352


Our scheduling team is ready to help you schedule an appointment with one of our specialists. Call 541-322-2352, Monday – Friday, 8:00 a.m. – 5:00 p.m.

To request an appointment online, please complete the following form and a team member will contact you. We use this information to set up your registration and schedule your appointment appropriately.

Our patient portal also offers convenient access to our scheduling team. With the exception of same-day appointments, you may request office visits, reschedule, or cancel visits – all with secure 24/7 access from the convenience of your personal computer.

Patient Information

New PatientCurrent Patient

First Name (required)

Middle Initial

Last Name (required)


(example: Jr.)

Street Address

City, State, ZIP

(example: Bend, OR 97701)



Contact Phone:
(example: 555-555-5555, area code required)

Can we leave a message at this phone?

Your Email (required)

Preferred Appointment Day (select all that apply):

Preferred Appointment Time:
MorningMiddayLate AfternoonAny time

Describe Injury or Condition

Indicate Side LeftRight

Referred by:
(Physician Name)

Which Center physician would you prefer seeing?

Do you have insurance you would like us to bill?

Insurance Name

Please answer correctly:

Get your appointment reminder by text!

From your mobile phone, text THECENTER to 622622. You will receive immediate confirmation by text. Message and data rates may apply.