Cascade Internal Medicine Specialists
2239 NE Doctors Dr. Suite 200
Bend, Oregon 97701
ph 541.318.0124 | fx 541.318.0188
Dr. Mark Backus | Dr. Sanaz Askari

Patient Forms

Download, print, and fill out forms to save time when you visit Cascade Internal Medicine Specialists. If you are unsure which forms you need for your visit, please call us at 541.318.0124.

New Patient Information & Medical History

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Privacy Policy

We respect and appreciate your privacy. We follow general HIPAA (Health Insurance Portability and Accountability) guidelines. Please review this before your first visit. We ask that you complete, sign and turn in our "Acknowledgment and Consent" form to indicate you have received this information.