Steven G. Tillett, DPM - Fellow, American College of Foot and Ankle Surgeons.

WESTSIDE                                                                                                                                            DOWNTOWN

Hillsdale Foot & Ankle Clinic                                                                                            Portland Medical Center

6327 SW Capitol Hwy, Suite B                                                                                      511 SW 10th Ave, Suite 811







Click here to Download: The 3 required Patient Registration Forms

*These 3 forms must be filled out in order to see the Doctor. It may save you considerable time by having them filled out before, and bringing them to your first office visit.

If you need to re-download an individual form - they are listed separately below:

1. The Patient Registration Form

2. The Patient History Form

PRIVACY PRACTICES INFORMATION

3. The Acknowlegement of Privacy Practices Form - which states you have had the opportunity to read our Policy.

By Law we must supply both a nearly 100 page "Privacy Manual" and an Overview - which describes how your Medical Information is handled.

Click here to read:

  • The 2 page Summary of our Privacy Practices - Mandated by Federal Law, or
  • The entire (88 page) Privacy Practices Manual Here