PDF downloadable forms

You may complete these forms before arriving for your appointment.

• 6 Month Return
  Use this form if you are/were a patient of Dr. McCool’s but haven’t seen her in 6 months or more. Word.doc
• Ped Intake 0-5 years
  Use this form if patient is 0-5 years/old. Word.doc
• Ped Intake 5-12 years
  Use this form if patient is 6-12 years/old. Word.doc
• Referral EAV Intake
  Use this form if patient is a referral from another physician for an EAV food sensitivity screen or if seeing Dr. McCool ONLY for EAV. Word.doc
• Adult Intake
  Use this form if patient is 13 years or older. Word.doc

Sunnyside Natural Medicine
13110 SE Sunnyside Road, Suite B
Clackamas, OR 97015
Phone: 503-698-5866
Fax: 503-698-5787

Clinic Hours:
Monday-Wednesday
9:00 a.m. – 6:00 p.m.
Friday 9:00 a.m. – 5:00 p.m. Closed Thursday
Note: vacation schedules may cause changes in clinic hours. Please phone ahead.