outpatient therapy services
Healthcare Providers
We work with providers both in and out of state
Healthcare providers can order services by utilizing the appropriate PDF form below. All orders need to include:
- Patient name, DOB, diagnosis with ICD-10 code
- Provider signature with date and time
- Medication name, dose, route and frequency
Fax completed orders to 503-815-7515. To speak directly with a nurse, call (503) 815-7510
Physician Orders
For additional information, please read our order instructions and scope of services.
- Bladder Chemotherapy Treatment
- Blood Transfusion
- General Orders
- IM/SQ Injection
- Iron Dextran
- Ketamine IV Infusion
- Pain Management
- Payne Cocktail II: Bladder Instillation
- Port Flush
- Prolia® (Denosumab)
- SPRAVATO® Nasal Spray
- Therapeutic Phlebotomy
- Wound Care
- Zoledronic Acid/Reclast for Osteoporosis
Consent Forms
Some medications require a signed consent by the provider and patient before receiving treatment from Outpatient Therapy Services.