Patient Registration

You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Online patient registration button

COVID-19 Patient Screening Form

You may fill out our secure online COVID-19 Patient Screening Form before visiting our office..

COVID-19 Patient Screening Form

For more information about Patient Registration or to schedule a consultation with Dr. Glenn, call our office in Brownsville, OR at Brownsville Office Phone Number 541-466-5171.