503.292.9565
NWVC PHYSICIANS
Philip T. Alexander, M.D., R.P.V.I.
Norina Mohd Nordin. M.D., R.P.V.I.
Monday–Friday 8am–5pm
Peterkort Center III
9701 SW Barnes Road Suite 140
Portland, Oregon 97225
PHONE 503.292.9565
FAX 503.292.9478
FORMS TO DOWNLOAD
(ADOBE ACROBAT PDFS)
DRIVING DIRECTIONS
NEW PATIENT FORM
MEDICAL HISTORY FORM
VARICOSE VEIN FORM
MEDICAL RELEASE-TO NWVC
MEDICAL RELEASE-FROM NWVC
REFERRING DOCTOR FORM
NOTICE OF PRIVACY PRACTICES
ACKNOWLEDGMENT AND CONSENT FORM
a1
a2
a3
a4
b1
b2
b3
b4
c3
c2
c1
d1
d2
d3
HOME
PHYSICIAN’S BIOS
CONTACT US
PATIENT FAQS
MAP / DIRECTIONS
Download our driving directions here:
Portland
Milwaukie
Seaside
Newberg
Copyright © 2009 Northwest Vascular Consultans, Inc. | WWW.NWVASCULAR.COM |