2160 NE Williamson Court Bend Oregon 97701 (541) 389-1118

Prepare For Your Visit

Welcome to Fall Creek Internal Medicine

Important Reminders before your first appointment

  • Please arrive 15 minutes early for your appointment
  • Please bring your completed New Patient Paperwork, Insurance Card and Photo Identification
  • Please do not wear perfume, cologne or any fragrances to your appointment

If you do not arrive 15 minutes prior to your scheduled appointment time, we may have to reschedule your appointment.

If you need directions to our clinic, please refer to our contact page, or call us at 541-389-1118

Thank you and we look forward to meeting you.

Directions to Fall Creek Internal Medicine
2160 NE Williamson Ct
Bend, OR 97756

We are off Neff Rd which runs in between the Hospital and Bend Memorial Clinic. Turn onto Williamson Blvd (COPA is a landmark on the corner of Neff/Williamson) follow that down 2 blocks and turn right onto Williamson Ct. We are the first Driveway on the right.

New Patient Registration Forms

VACCINE QUESTIONNAIRE Notice of Privacy (May 25, 2021) ACKNOWLEDGEMENT OF PRIVACY PRACTICES POLICY OFFERED, REFERRAL RIGHTS FCIM OFFICE AND FINANCIAL POLICIES PATIENT MEDICAL HISTORY QUESTIONNAIRE REVIEW OF SYSTEMS AND SOCIAL HISTORY PATIENT CONSENT FORM REQUEST FOR MEDICAL RECORDS FCIM PATIENT PORTAL POLICY PATIENT INFORMATION/REGISTRATION

Commercial Insurance Annual Preventative Visit Forms

REVIEW OF SYSTEMS AND SOCIAL HISTORY

Medicare Advantage Forms

MEDICARE ADVANTAGE PATIENT HEALTH QUESTIONNAIRE MEDICARE ADVANTAGE REVIEW OF SYSTEMS AND SOCIAL HISTORY

Medicare Annual Wellness Visit Patient Forms

MEDICARE REVIEW OF SYSTEMS AND SOCIAL HISTORY MEDICARE ADVANCE BENEFICIARY NOTICE OF NONCOVERAGE (ABN)

Important Patient Notifications

HEALOW APP SETUP Notice-of-Privacy-May-25-2021template-1[1] TELEVISIT WORKFLOW Reliance Opt Out Cancellation Form and Cover Reliance Opt Out Request Form and Cover 2023 Medicare Portal_Beneficiary Notice 2023_English_1432-22_F 2023 Medicare Portal_Beneficiary Notice 2023_Spanish_F