3537 N Williams Ave. Suite 102

Portland,  97227

To make an appointment please call 971-413-3207 or send us an e-mail with 3 preferred appointment times.

We will try to honor one of your preferred times and will send you a notice confirming the appointment.

Please write your name, contact phone number where we can leave a message and the reason for the appointment.

I understand and agree that any information submitted will be forwarded to our office by email and not via a secure messaging system. Once we establish further communication, we will be using a HIPAA secure e-mail that will protect your information.  We disclaim all warranties with respect to the privacy and confidentiality of any information submitted through this form. If you prefer to not disclose any information by e-mail just give us a call at: 971-413-3207 and we will contact you back within 48 hours.
Dr. Brockert ND

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