Become a Patient

1. Are you looking for an ND to provide general naturopathic or primary care? *

Yes

No

2. Do you live in the State of Oregon? *

Yes

No

3. Are you scheduling for someone besides yourself? *

Yes

No

4. Do you plan to use health insurance, or pay with cash? *

Insurance

Cash

5. Are you seeking mental health counseling? *

(Also sometimes called therapy, talk therapy, or psychotherapy)

Yes

No

6. Are you seeking a formal mental health diagnosis? *

Yes

No

Unsure

7. Are you currently taking, or interested in starting to take, any of the following controlled medications? *

Dr. Christensen does not prescribe daily or maintenence (regular interval) dosing of benzodiazepines or non-benzodiazepines. He will occasionally prescribe these medications under specific circumstances but will not provide more than 4 doses per month.

No

Benzodiazepines like Xanax or Ativan or Nonbenzodiazepine drugs like Ambien or Lunesta

Stimulant Medications like Adderall or Ritalin or Vyvanse

Opioid pain medications like Vicodin or Oxycontin

Unsure

Legal name *

First Name

Last Name

Preferred name

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Sex assigned at birth *

Female

Male

Phone *

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