Forms & Billing

FEES AND PAYMENTS

We attempt to provide healthcare in a cost-effective way. Our fees are comparable to other specialists in the area. Please contact our billing office to discuss any questions you may have regarding fees or services.

 

FOR OUR PREGNANT PATIENTS:

For your convenience, we will contact your insurance company and review your benefits. We will give you a copy of your benefit details along with your monthly payment information, if required.

If you are currently covered by OHP call 1-800-699-9075 to notify them that you are pregnant.

If you are going to apply for the Oregon Health Plan (OHP) please submit your application as soon as possible. Central Oregon Perinatal Care can assist you with your application for OHP, as well as resources such as WIC, counseling, transportation and more. You can reach them at 541-322-7448 or www.deschutes.org/prenatalscreen, to fill out their intake form and someone from Central Oregon Perinatal Care will contact you.

 

To apply for Paid Leave Oregon, use the link above and click on the green "Apply Now" button at the top of their website.

IMPORTANT FORMS

To request records to be sent to East Cascade Women's Group from another provider, complete the form below.
or bring the filled out copy to the clinic
To request records to be sent from East Cascade Women's Group

Please provide an email address on the authorization to expedite the process and delivery method. Records sent via email or to another provider are complimentary. Requests are processed within two (2) business days after receipt by MediCopy.

For third party requestors to request records:

Disability/FMLA Forms

To submit FMLA/Disability forms, please visit MediCopy.net/Forms

Forms are $35 for the first form and $15 for each additional form turned in at the same time. After payment is received, Disability/FMLA forms are completed within three (3) business days.

If you have any questions, please contact MediCopy: online chat: MediCopy.net | phone: 866-587-6274

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