Patient Intake & Insurance Forms

Patient Intake Forms

Please complete the following forms prior to your initial appointment at Orchid Pediatrics.

Insurance Forms

Orchid Pediatrics is not in-network with any insurance providers. We require payment in full at the time of service. We provide a Superbill that can be submitted to insurance for reimbursement, and are happy to assist in this process as needed. Below are some claim forms for common insurance providers:

Contact Orchid Pediatrics​

Use the brief form below to contact developmental pediatrician, Joy Eberhardt.

developmental pediatrician

Phone & Email

developmental pediatrics

Office Location

4850 SW Scholls Ferry Rd.
Suite 301
Portland, OR 97225