Welcome to the National University of Natural Medicine (NUNM) Health Center! We are delighted that you consider us for your health care needs. Our team of doctors, providers and students offer the best in both traditional and integrative naturopathic and Chinese Medicine. We are pleased to offer our services as Primary Care Providers (PCP) in our Patient-Centered Primary Care Home (PCPCH).
Forms to Complete
Registration Packets
If you’re a New patient to NUNM, or if we haven’t seen you in more than 3 years, we will need a complete and updated patient registration packet. This packet includes required demographic and insurance information as well as a comprehensive health history. These documents must be completed BEFORE we can schedule your appointment. Please allow 5 business days to process your application.
The Registration form contains space to attach information about your health history and medications. You will also be asked to provide photos of your insurance card and ID. These photos can be taken by phone camera or scanned and attached to the document. This form contains required fields which are outlined in red. The form can’t be submitted until all required fields are filled.
Consents For Care
NUNM Consents will need to be signed before your first visit and once a year thereafter. You can review these documents below, and are welcome to complete them online before your first appointment. If we do not receive these signed documents before your appointment, they will be made available at the front desk to sign at your check-in.
- NUNM Required Consent forms: English Forms Online | Spanish PDF
Other Health Center Documents
To accommodate patients with no insurance, or with non-contracted insurance, NUNM offers our Compassionate Care Program, a sliding scale discount on office visits and some other forms of care. Below is the application for our Compassionate Care Program. This application must be renewed yearly. We require proof of income such as a tax return, paystub, or benefit letter in order to offer services at a discounted rate.
- Notice Of Privacy Practices: English | Spanish
- Authorization to Disclose Protected Health Information (Release of Information): English
- Patient Rights & Responsibilities: English | Spanish
We are here if you have questions about these documents. Give our information center a call if you need assistance: 503.552.1551
NUNM Health Centers complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. NUNM Health Centers does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Read more about NUNM’s Non Discrimination Notice: English | Spanish