New Patient Forms and Information

At your first visit, be prepared to spend about 2 hours with us. This allows Dr. Sleszynski to get to know all the details of your life, explain her findings to you, make suggestions, answer your questions and help you develop a plan of care that will work for your specific circumstances and conditions.

The following letter and forms are part of the packet we prepare for new patients at Crossroads PHC. Please fill them out and mail or drop them off at our office as soon as possible. If you would like to drop them off after hours, please let us know and we will give you instructions to leave paperwork in our drop box. You are also welcome to scan and email your paperwork back to us at The sooner we receive these forms, the sooner we can get you scheduled.

  • New patient please download and read – Download Form as: PDF
  • New patient please download and print – Download Form as: PDF

Thank you! Please call us at 541.207.3773 if you have any questions.