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EURO MAN # Provider # Patient Portal: o Information Provided o Declined Clinical Summary: o Print o Portal o Declined Dr. Then Appointment Date: / / Date of Birth: / / Name: Age: Height: Weight: Dominant

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1. To fill out the Dr. Tien form on Formcenter Oregon, first, ensure that you have access to a device with an internet connection.
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8. If there are any sections that require additional documentation or attachments, make sure you have those ready in the format specified (e.g., scanned copies, PDF files).
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