Health History Questionnaires
Please download appropriate form(s), fill out and return to Cheryl Matschek in one of these ways:
- Scan and email to cheryl@matschek.com
- Fax to 503-647-7620
- Mail to: Dr. Cheryl Matschek, PO Box 1781, North Plains, OR 97133
- Bring with you to your appointment
Disclaimer: The information included in this website is for information only and is not intended nor suited to be a replacement or substitute for professional medical treatment or for professional medical advice relative to a specific medical question or condition. We urge you to always seek the advice of your physician or medical professional with respect to your medical condition or questions. As a recipient of information from this website, you are not establishing a doctor/patient relationship with any health care provider.