Salem Pulmonary Associates, PC

Your Local Specialists for Pulmonary Disease

Serving Salem, Oregon and the Willamette Valley

Forms and Resources

New Patients should fill out ALL forms on this page(1-5).  Once all forms have been filled out, please send them to us using one of the following.

1. Mail- the forms to the address listed below.
2. Drop- the forms off at the address listed below.
3. Fax- the forms to us at (503)-588-0256.
4. Email- the forms to salempulmonaryas@qwestoffice.net.

Forms
1. SPA Financial Policy
2. SPA HIPPA Form
3. SPA Patient Questionnaire
4. SPA Insurance Form
5. Medication List