Provider Resources and Forms
Access essential forms and clinical tools to streamline referrals, testing, and patient care coordination. We're here to support providers and partners every step of the way.
Medical Records Release Form
Use this form to request or authorize the release of patient medical records for continuity of care.
Spravato Referral Form
Complete this referral to begin the process for patients being evaluated for Spravato (esketamine) treatment.
Cognitive Testing
Document
A breakdown of cognitive assessments available to patients, including referral requirements and testing protocols.
Patient Referral Form
Refer a patient to LoneRock Clinic for primary care, behavioral health, or specialty services using this standard intake form.
Compassionate, community-focused care right here in Eugene, Oregon. We’re here to support your well-being—every step of the way.
