New Patient Forms
If you are a new patient to Fanno Creek Clinic, please print out and complete the following form and bring it to your scheduled appointment.
New Adult Patient Forms(download PDF)
Patient Survey Form (download PDF)

We at Fanno Creek Clinic take pride in being responsive to our patients’ needs.  If you have any comments or suggestions as to how we may improve the health care we provide our patients, please print out and complete the above form and either drop it off at the reception desk or mail it to:
       Fanno Creek Clinic
       Attn: Administration
       2400 SW Vermont Street
       Portland, OR 97219

Release of Medical Records Form (download PDF)
Notice of Privacy Practices (download PDF)
If you wish to have your medical information transferred to or from Fanno Creek Clinic, we require that you complete a Release of Medical Records form prior to having your information transferred.

  • Transferring information to Fanno Creek Clinic – if you wish to transfer you medical record information from another medical office or clinic to a health care provider at Fanno Creek Clinic, print and complete the above form and send it either by fax or by mail to your previous provider’s clinic.  Upon receipt of the form, your medical records will be forwarded to Fanno Creek Clinic.

  • Transferring information from Fanno Creek Clinic – If you are a current patient of Fanno Creek Clinic and want to have your medical records transferred to another medical office or clinic, print and complete the above form and either fax it to 503-768-9232 or mail it to:

Fanno Creek Clinic
Attn: Medical Records
2400 SW Vermont Street
Portland, OR 97219


Patient Portal Access

Patient Portal access is now available. In order to sign up, visit our front desk and inform them that you would like to register for the Patient Portal. You will then be provided with a Patient Portal Agreement which will need to be signed and then you will be given an access code to register your account online. In order to protect your privacy and access to your medical information, we cannot give the access code over the phone and it will only be provided in person.

The Patient Portal is now available for all patients of our primary care physicians.

Fanno Creek Patient Portal account set up instructions (Download PDF)


  • Currently, the Patient Portal offers the following information: Drug Allergies, Lab Results, Problem List, Medications, and Messaging with your PCP. ***Please note that Messaging is to be used only for non-urgent, non-life threatening communication. Messaging is not intended for scheduling requests and if you have an urgent or life threatening issue, call 911 or go to the nearest emergency room. Messages may be screened by administrative staff before being forwarded to your health care provider. Normally, you will receive a reply to your message within 3 business days. When a faster response is required, call your health care provider or visit FCC. At the discretion of your provider, any or all secure messages may become part of the electronic health record.***
  • To review the terms before your visit, please print the form below and return it signed to the clinic during your next visit: Patient Portal User Agreement (Download PDF)
  • Once on the site, click on Activate Your Account and enter your Access Code in order to register your account.
  • If you have signed up for the FCC Patient Portal and would like to opt-in for patient notifications, please view the following document (Download PDF)


Visit the Patient Portal (Fanno Creek Patient Portal)