Patient Information

Lab Results
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Brief Explanation of Laboratory Blood Tests

Glucose (Glu)
Glucose (Glu) is a measure of the sugar level in your blood. The glucose reference range is for patients who are fasting at the time their blood is drawn. High values may be associated with having eaten just before the test of with diabetes.

Sodium (Na) and Chloride (Cl)
Sodium (Na) and Chloride (Cl) are essential elements regulated by diet, the kidneys, and adrenal glands. They are important for the functioning of nerves, muscles and most cells.

Potassium (K)
Potassium (K) is another essential element. It is controlled very carefully by diet and by the kidneys. It is important for the functioning of nerves and muscles, particularly the heart. Any value outside the expected range, high or low, requires medical evaluation. This is especially important for if you are taking a water pill or heart pill such as furosemide (Lasix) or digoxin (Lanoxin).

Blood Urea Nitrogen (BUN)
Blood Urea Nitrogen (BUN) is a nitrogen containing waste product produced in the liver and excreted by the kidneys. High values may mean that the kidneys are not working as well as they should. BUN is also increased by high protein diets and/or strenuous exercise.

Creatinine (Creat)
Creatinine (Creat) is another waste product. It is also an indicator of kidney function. The amount present is not greatly affected by diet. High values require medical evaluation, especially with high BUN levels. Low values are generally not significant.

Uric Acid
Uric Acid, a waste product, is normally excreted in urine. High values are associated with a rich diet, gout, arthritis, kidney problems and the use of some diuretics. Low values are generally not significant.

Calcium (Ca) and Phosporus (Phos)
Calcium (Ca) and Phosporus (Phos) levels are controlled by the parathyroid glands and the kidneys. These minerals are found in bones and teeth, but are also important for normal cellular activity.

Cholesterol (Chol)
Cholesterol (Chol) is used as one indicator to estimate the risk of developing heart disease. Several forms of cholesterol may be reported. Total and HDL cholesterol levels are measured. Other cholesterol levels are usually calculated from these results. Current guidelines recommend the total cholesterol be maintained below 200mg/dL, HDL cholesterol (good cholesterol) should be above 40mg/dL and LDL cholesterol should be below 130 mg/dL. Patients with increased risk factors for heart disease may have recommended values that are more stringent.

Triglycerides (Trig)
Triglycerides (Trig) are the fats in your body. There are many kinds of fats, but most belong to the group called triglycerides. In order for this test to be accurately interpreted, you must not have eaten (fasted) for 12 - 16 hours before your blood is drawn. The desirable level for triglycerides is below 150mg/dL, but may vary with age, diet and coronary disease risk factors.

Total Protein
Total Protein is the combined values of the two proteins, albumin and globulin. Albumin (Ab) and Globulin Albumin (Ab) and Globulin are the two types of protein in your blood. They are a useful index of overall health and nutrition. Globulin contains the antibody proteins important for fighting disease.

Bilirubin (Bili)
Bilirubin (Bili) is the primary pigment in blie from the liver. Although low levels are generally not significant, high bilirubin values may indicate liver disease or some other disorder that reduces the normal flow of bile, or produces an increase in bilirubin itself. It may be increase with certain anemias.

Alkaline Phosphatase (ALP)
Alkaline Phosphatase (ALP) is an enzyme found in high levels in liver and bone and is useful in detecting disease of these organs. Low values are probably not significant.

AST
AST is an abbreviation of an enzyme that aids various chemical activities within cells. Injury to these cells releases this enzyme into the blood. It is found in muscles, the liver and the heart. Damage to cells from alcohol and a number of diseases are reflected in high values. Low values are generally insignificant.

ALT
ALT is an abbreviation for an enzyme found mainly in the liver. It is usually used to check for liver damage or disease.

Glomular Filtration Rate (GFR)
Glomular Filtration Rate (GFR) is a calculated value that is an indicator of kidney function. % Hemoglobin A1c (%HbA1c) % Hemoglobin A1c (%HbA1c) is used as an indicator of the average blood sugar over the past two months. The Estimated Average Glucose (eAG) is calculated from the %HbA1c, and is, as the name implies, an estimation of the average glucose level, in mg/dL, during the past two months.

Prostate Specific Antigen (PSA)
Prostate Specific Antigen (PSA) is a protein that is found almost exclusively in the male prostate gland, which is located next to the bladder. It is normally found at low levels in men, but increases in some normal (benign) conditions and also in adenocarcinoma (cancer) of the prostate gland. It is used to detect cancer (screening) and to monitor patients who are being treated for cancer.

Thyroid Stimulating Hormone (TSH)
Thyroid Stimulating Hormone (TSH) is a hormone produced by the anterior pituitary gland. It stimulates the production of active thyroid hormones. This regulatory hormone is a very sensitive indicator of normal thyroid function and is frequently used as a screening test for over or under active thyroid function. A high TSH may indicate an underactive thyroid, while a low TSh is associated with an overactive thyroid.

White Blood Cell Count (WBC)
White Blood Cell Count (WBC) The major function of white blood cells, or leukocytes, is to defend against foreign cells such as bacteria, viruses and other invaders. Low or high white blood cell counts usually indicate infection. Abnormalities are most frequently seen with infectious diseases. More rarely, a high count can be caused by leukemia.

Red Blood Count (RBC)
Red Blood Count (RBC) Red blood cells carry oxygen in the blood. Low results may suggest anemia or bleeding problems. High results may indicate too little oxygen (such as can be found in lung disease), polycythemia or dehydration. Results may vary naturally with elevation and age and may be lower during pregnancy or in young children.

Hemoglobin (Hgb)
Hemoglobin (Hgb) is the oxygen and carbon dioxide transport protein inside red blood cells. It is what gives red cells their color. Low results may suggest anemia or bleeding problems. A high result may indicate too little oxygen (such as can be found in lung disease), polycythemia or dehydration. Results may vary naturally with elevation and age and may be lower during pregnancy or in young children.

Hematocrit (Hct)
Hematocrit (Hct) is the ratio of the volume of red blood cells to the volume of whole blood. This measurement is affected by the size and number of red blood cells. Low results may suggest anemia or bleeding problems. A high result may indicate too little oxygen (such as can be found in lung disease), polycythemia or dehydration. Results may vary naturally with elevation and age and may be lower during pregnancy or in young children.

Platelets (Plt)
Platelets (Plt) are cellular particles involved in blood clotting. This test determines the number of platelets in the blood.


THE FOLLOWING TESTS ARE RED CELL INDICES

These results are calculated from measured values and are usually only considered if there are abnormal RBC counts. These tests can help your doctor diagnose different types of anemias.

Mean Corpuscular Volume (MCV)
Mean Corpuscular Volume (MCV) calculates the volume of size of the average red blood cell.

Mean Corpuscular Hemoglobin (MCH)
Mean Corpuscular Hemoglobin (MCH) calculates the weight of hemoglobin in the average red blood cell.

Mean Corpuscular Hemoglobin Concentration (MCHC)
Mean Corpuscular Hemoglobin Concentration (MCHC) is the amount of hemoglobin present in the average red blood cell compared to its size.


DIFFERENTIAL CELL COUNT

The differential white blood cell count is performed to determine the relative number of each type of white blood cell in the blood. There are normally five main types of cells in the blood: neutrophils (PMN’s), lymphocytes, monocytes, eosinophils and basophils. Each type of cell has a unique function in fighting disease and infection. Findings of increased or decreased numbers of individual cell types, or of immature cells can help your physician make a differential diagnosis of diseases such as bacterial and viral infections. Rarely, abnormal white blood cells may indicate other diseases, such as leukemia.

More information about most of the tests that were performed can be found at www.labtestsonline.org.

Sleep Assessment
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This will help expedite your check in process. Forms will also be available at each location.
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Flu shot schedule
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For current information please see for Disease Control and Prevention's Q&A.

Beginning, September 4, 2014, all Portland Clinic locations will be offering flu shots to Clinic patients with no appointment necessary. Depending on the volume of patients at any given time, there may be a short wait.

  • Downtown, M-F 9-5pm (Ages 16yr and older)
  • Beaverton, M-F 9-5pm (Ages 6m and older)
  • Hillsboro, M-F 9-5pm (Ages 6m and older)
  • South, M-F 9-5pm (Ages 6m and older)
  • Tigard, M-F 9-8pm and Sat 9-5pm (Ages 9yr and older)
  • East, M-F 8-5pm (Ages 6m and older)
  • Columbia, M-F 9-5pm (Ages 6m and older)
Appointment Information
Important phone numbers

THE PORTLAND CLINIC- BEAVERTON
15950 SW Millikan Way
Beaverton, OR 97003
(503) 646-0161
Mon. - Fri., 8 a.m.- 5 p.m.

THE PORTLAND CLINIC- COLUMBIA
5847 NE 122nd Avenue
Portland, OR 97230
(503) 256-3401
Mon. - Fri., 7:30 a.m. - 5 p.m.

THE PORTLAND CLINIC- DOWNTOWN
800 SW 13th Avenue
Portland, OR 97205
(503) 221-0161
Mon. - Fri., 8 a.m.- 5 p.m. (Scheduled Appointments)
Mon. - Fri., 9 a.m. - 6 p.m. (Walk-in Urgent Care, 16 and older)

THE PORTLAND CLINIC- EAST
541 NE 20th Ave, Suite 210
Portland, OR 97232
(503) 233-6940
Mon. - Fri., 8 a.m.- 5 p.m.

THE PORTLAND CLINIC- HILLSBORO
256 SE 2nd Ave
Hillsboro, OR 97123
(503) 648-4171
Mon. - Fri., 8 a.m.- 5 p.m.

THE PORTLAND CLINIC- SOUTH
6640 SW Redwood Lane
Portland, OR 97224
(503) 620-7358
Mon. - Fri., 8 a.m.- 5 p.m.

THE PORTLAND CLINIC- TIGARD
9250 SW Hall Boulevard
Tigard, OR 97223
(503) 293-0161
Mon.- Fri., 8 a.m. - 5 p.m. (Scheduled Appointments)
Mon.- Fri., 8 a.m. - 8 p.m. (Urgent Care)
Sat., 9 a.m. - 5 p.m. (Urgent Care)

ALBERTY SURGICAL CENTER
9100 SW Oleson Road
Tigard, OR 97223
(503) 445-9066
Mon.- Fri., 8 a.m. - 5 p.m. (Scheduled Appointments)

THE PORTLAND CLINIC EYE SERVICES - DOWNTOWN OFFICE
1115 SW Taylor
Portland, OR 97205
(503) 227-0354
Mon. - Fri., 8 a.m.- 5 p.m.

THE PORTLAND CLINIC EYE SERVICES - BEAVERTON OFFICE
15950 SW Millikan Way
Beaverton,OR 97006
(503) 643-1166
Mon. - Fri., 8 a.m.- 5 p.m.

THE PORTLAND CLINIC EYE SERVICES - SOUTH OFFICE
6640 SW Redwood Lane
Portland, OR 97224
(503) 924-2269
Mon. - Fri., 8 a.m.- 5 p.m.

TOLL-FREE FROM SOUTHWEST WASHINGTON (360) 693-3532

AFTER HOURS
For urgent needs when our clinics are closed, call our on-call physician:(503) 221-0161

SCHEDULING/PHYSICIAN REFERRAL
For direct-line scheduling or to receive a list of primary care physicians and their biographical data:
(503) 223-3113

QUESTIONS (Bills/Authorizations/Claims & Patient bills, statements and accounts)
(503) 221-2189

REFERRALS OR PRIOR-AUTHORIZATIONS
(503) 221-2199

Does The Portland Clinic have extended office hours?
Yes. The Portland Clinic- Tigard offers walk-in Urgent Care 6 days a week (M-F, 8am-8pm, Sat 9am-5pm) and our Downtown location offers Urgent Care, M-F, 9am-6pm (16 yrs and older). For a complete listing of our office hours visit Important Phone Numbers.
Do you provide parking at all of your locations?
Parking at all of our facilities is conveniently located right next to the buildings. There is a small 75 cent per hour charge for parking at our downtown location to cover the cost of the parking attendant. Our Beaverton, Columbia, East, Hillsboro, South, and Tigard locations provide free parking.
How can Portland Clinic patients reach a physician after hours?
For after hours care, just call our main office phone number, (503) 221-0161, and we will have one of our physicians contact you.
Preventative Health Care Guidelines

The following guidelines are designed for the healthy patient without medical problems. These are our recommendations for routine exams, tests, counseling and vaccinations designed to keep you at the best health possible. They are based on the U.S. Preventive Services Task Force recommendations, Center for Disease Control, and many other national and local resources.


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Authorization to Verbally Disclose Protected Health Information (PHI)
Download the Authorization to Verbally Disclose Protected Health Information (PHI)
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Transfer Information from Outside The Portland Clinic

Transferring Information to The Portland Clinic: If you are transferring your medical record information from an outside physician's office to a physician at The Portland Clinic, we ask that you complete the Release of Information form, to have your records released from their office. You will need to fax this form to the outside physician's office and they will send your information over to our offic.


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Transfer Information from Inside The Portland Clinic

Transferring Information from The Portland Clinic: If you are a current Portland Clinic patient and need to have your records transferred to a non-Portland Clinic medical office, you will need to complete the Release of Information form. Please fax the completed form back to our Release of Information department at 503-620-5348.


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Medical Record Amendment/Correction Form
You have the right to submit a Medical Record Amendment/Correction Sheet to be made a part of your medical record. This right does not permit you to alter or change the original record created by your physician or his/her staff. We may deny your request to amend or correct your records.
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Insurance Information
What is the Health Exchange?
The Health Exchange Marketplace is mandated for all states based on the Affordable Care Act which was passed into law in 2010 and goes into effect in 2014. The law requires most people who can afford health insurance to have coverage or otherwise, pay a penalty.
What is Cover Oregon?
Cover Oregon is the state of Oregon’s version of the health insurance marketplace (“exchange”), which is mandated by the new law. Cover Oregon is an online marketplace where people can shop for insurance, enroll in health insurance, and qualify for tax credits. More information can be found at: CoverOregon.com or by calling 1-855-CoverOR.
Participating Health Plans

Oregon's Health Exchange

Cover Oregon is Oregon's health insurance exchange, an online marketplace where Oregonians can compare and enroll in health coverage that fits their needs and budget. For more information, please go to their website at coveroregon.com. Or see our FAQ regarding the exchange.

The Portland Clinic will be participating with the following health plans through the Health Insurance Exchange:

  • PacificSource
  • Kaiser Permanente
  • Health Net
  • Lifewise
  • Moda Health
  • Providence EPO and Providence Choice
  • Health Republic Insurance

PARTICIPATING HEALTH PLANS

  • Aetna
  • Assurant Health
  • Caremark PPO
  • Choice Care
  • Humana PPO
  • Cigna
  • First Choice Health
  • First Health Network
  • Fortis Health
  • Great West Healthcare
  • GEHA
  • Guardian
  • HMA (Healthcare Management Administrators)
  • Health Net of Oregon
  • - HMO
  • - PPO
  • - Community Care
  • - MedAdvantage PPO & HMO
  • Health Republic Insurance
  • Kaiser Permanente
  • - Individuals and Families
  • - Senior Advantage (HMO)
  • - Added Choice (Tier 1)
  • Commercial
  • Legacy Employee Health Plan (UMR)
  • Lifewise of Oregon
  • Medicare (accepting established The Portland Clinic patients only)
  • MHN (Managed Health Care NW)
  • Moda Health (formerly ODS)
  • Multiplan
  • Motor Vehicle
  • PacifiCare of Oregon
  • PacificSource
  • - PacificSource Smart Health
  • Providence
  • - Providence Health Plans of Oregon
  • - Providence Preferred
  • - Providence EPO
  • - Providence PEBB
  • - Providence Medicare Extra
  • Regence BCBS of Oregon
  • - Participating (PAR) Network
  • - Preferred Provider Plan (PPP) Network
  • - Access Network
  • - MedAdvantage PPO
  • - BlueAdvantage HMO
  • - OSN Prov & OSN Legacy
  • - Blue Card
  • - Federal
  • UHC AARP MedicareComplete HMO – closed to Columbia & Hillsboro
  • United Healthcare
  • Workers Comp

To view a list of our senior plans that we accept, please see Medicare Services.

If your insurance plan is not listed, we may still accept it. Call our business office at (503) 221-2189 to check.

What plans through the Health Exchange will The Portland Clinic be accepting in 2014?
PacificSource, Kaiser Permanentem, Health Net, Lifewise, Moda Health, Providence EPO and Providence Choice, Health Republic
If I have insurance through my employer, will the exchange affect me?
Employer based insurance will continue and you will not need to purchase insurance through the health exchange. The health exchange is for individuals who purchase their own insurance.
If I already have an individual policy that I like, do I need to make any changes?
Most policies are going away January 1, 2014, which will require you to find a new policy that complies with federal law. The deadline for people in the individual market to enroll is March 31, 2014. However, since most policies are going away January 1, you should try to be enrolled by the start of 2014.
Medicare Services

Dear Patient:

The Portland Clinic wants to let you know which Medicare Advantage plans our doctors are accepting for the year 2014. We understand that selecting a Medicare plan can be confusing, so we have partnered with SeniorChoices NW, a local agency specializing in Medicare approved HMO, PPO, and PDP insurance plans. At no cost to you, SeniorChoices NW (at 503-682-1878, TTY 711 9:00 a.m.-5:00 p.m. Monday – Friday)The meeting locations, dates and times are listed on the back of this letter.

Our Primary Care Providers will continue to care for current established patients of The Portland Clinic who enroll with Original Medicare, and we will bill all Medicare Supplemental or Medigap plans (i.e. Plan F) that would be secondary to Original Medicare. Our Primary Care Providers no longer accept new patients who are enrolled in Original Medicare only.

The Portland Clinic doctors are accepting the Medicare Advantage plans below for 2014. These insurance companies offer full Medicare benefits plus extra benefits beyond Original Medicare. If you’re on one of the following Medicare Advantage Plans and do not want to change, please disregard this informational letter.

  • AARP® MedicareComplete® by UnitedHealthcare HMO Plans Only (Columbia & Hillsboro Office Providers Closed to UnitedHealthcare HMOs)
  • Health Net® Medicare Plans
  • Kaiser Permanente® Medicare Advantage Plans – Contact Kaiser Permanente Directly
  • Providence Medicare Advantage Plans
  • Regence MedAdvantage Plans

You may already be aware that Medicare Advantage plans renew their contracts and change benefits every year. Any changes to your current Medicare Advantage plan for 2015 must be made between October 15th and December 7th. (Special Enrollment Periods are still in effect for qualifying events.)

Patients turning 65 or planning to switch from Original Medicare to one of the plans above may call SeniorChoices NW or attend one of the free Medicare Informational Meetings. A sales person will be present with information and applications.

If you have additional questions that are not answered after you’ve contacted SeniorChoices NW, please call Jan Renwick, Medicare Health Plan Advisor for The Portland Clinic at 503-261-2603. TTY users should call TTY 711 8:00 a.m.-5:00 p.m. We appreciate your loyalty and will continue our 93-year tradition of providing quality medical care to you and your family.

Sincerely,

Jan Renwick, Business Services Representative

H9047_2014TPC02 ACCEPTED

Beaverton Office
15950 SW Millikan Way, Beaverton, OR 97006
Employee Lounge Room
2:00 pm to 3:30 pm
January 1 – September 30, 2014
Last Monday of every Month Except for Holidays
October 15 – December 7, 2013
Every Monday

Columbia Office
5847 NE 122nd Avenue, Portland, OR 97230
Conference Room
1:30 pm to 3:00 pm
January 1 – September 30, 2014
Last Thursday of every Month Except for Holidays
October 15 – December 7, 2013
Every Thursday Except for Thanksgiving

Downtown Office
1221 SW Yamhill, Portland, OR 97205
4th Floor, Suite 4 - Conference Room 2
Free Parking in the lot at The Portland Clinic
10 am to 11:30 am
January 1 – September 30, 2014
Last Friday of every Month
October 15 – December 7, 2013
Every Friday Except the Friday after Thanksgiving

East Office
541 NE 20th Ave., Ste. 210, Portland, OR 97232
Conference Room
10 am to 11:30 am
January 1 – September 30, 2014
Last Thursday of every Month
October 15 – December 7, 2013
Every Thursday Except for Thanksgiving

South Office
6640 SW Redwood Lane, Portland, OR 97224
Conference Room 2nd Floor
10 am to 11:30 am
January 1 – September 30, 2014
Last Tuesday of every Month
October 15 – December 7, 2013
Every Tuesday

For accommodation of persons with special needs at sales meetings, call 503-682-1878 (TTY: 711) 9:00 a.m. to 5:00 p.m., Monday–Friday, Pacific time. Please call SeniorChoices NW at 503-682-1878 and you will be directed to a licensed independent insurance agent familiar with all the plans our clinics accept. You may also contact the Health Plans listed below to receive plan information:

AARP® MedicareComplete® by UnitedHealthcare is a Medicare Advantage organization with a Medicare contract. HMO Plans Only Customer Service at 1-800-547-5514 – (TTY 711) 8:00 a.m. to 8:00 p.m., 7 days a week.

Health Net® is a Medicare Advantage organization with a Medicare contract. Customer Service at 1-800-949-0235 - (TTY/TDD: 1-800-929-9955) 8:00 a.m. to 8:00 p.m., 7 days a week.

Kaiser Permanente® is a Health plan with a Medicare contract. Customer Service at 1-877-410-8236 - (TTY 711) 8:00 a.m. to 8:00 p.m., 7 days a week.

Providence Health Plan is a Health plan with a Medicare contract. Customer Service at 1-800-457-6064 – (TTY 711) 8:00 a.m. to 8:00 p.m., 7 days a week.

Regence BlueCross BlueShield of Oregon is a Health plan with a Medicare contract. Customer Service at 1-888-734-3623 - (TTY 711) 8:00 a.m. to 8:00 p.m., 7 days a week.

New Patient Registration Forms
Notice of Privacy Practices
This will help expedite your check in process. Forms will also be available at each location.
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Genetic Research Authorization Form
This will help expedite your check in process. Forms will also be available at each location.
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TPC Reference Guide
All about The Portland Clinic.
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Physical Therapy Appointment Forms
Tigard Office
Print and complete the forms prior to your appointment to help reduce your check-in time:
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South Office
Print and complete the forms prior to your appointment to help reduce your check-in time:
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Downtown Office
Print and complete the forms prior to your appointment to help reduce your check-in time:
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Core Wellness Program
Print and complete the forms prior to your appointment to help reduce your check-in time:
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Class Registration Information
Register for Health Classes

Hot Topics in Diabetes. To register, call (503) 223-3113 or RSVP@tcpllp.com

Rev it Up! To register, call (503) 223-3113 or RSVP@tcpllp.com

Diabetes: Invitation to a healthier life. To register, call (503) 223-3113 or RSVP@tcpllp.com

Making Healthy Changes to Avoid Diabetes. To register, call (503) 233-6940 or RSVP@tcpllp.com