Providing excellent and caring health care in partnership with patients and families!


COVID-19 (AKA novel coronavirus)

Update 3/20/2020:  We are OPEN and seeing patients.

Cliff notes – we are here, we care, and we’re working to protect everyone!  We will try to be posting accurate and helpful information to our website and FB page, so you can follow us if you want to see our posts.

We are continuing to work hard to prevent transmission of COVID, especially to our more vulnerable populations, but across our community.  We strongly support the CDC guidelines, including
frequent hand washing, social distancing (at least 6 feet apart), avoid touching your face, cover your cough (and wash after), and avoiding nonessential outings.  In particular, we recommend that all nonessential travel be avoided.  One of our staff has reached out to nearly all of our patients over the age of 60, and we want you, in particular, to stay quarantined during this time.  Please take this seriously, and reach out to us if there is something we can help you with.  We want each of you to be safe, but we are still here to care for you (and we want to keep being here, thus our careful precautions to care for us all)!  Things to know for the upcoming months (yes, it will likely be months).

We are still seeing patients, but trying to keep any unnecessary visits out of the office (including physical exams for older children and adults), per CDC and OHA guidelines.  This means telemedicine visits are an option for nearly all insurance companies now.  Feeling more anxious or depressed and want to talk to your clinician?  Need a medication follow up?  Feeling ill?  Feel free to call and schedule a telemedicine visit.  The nurse practitioners will then determine whether an in person visit is needed. 

Well visits that need to be seen (infants, some more urgent blood draws and follow ups that require more of a physical exam, etc.) will be seen early in the mornings.  Check ins will be done via phone on arrival, and patients will be escorted straight to a freshly cleaned exam room by masked staff.  We request that only one adult accompany a child, adults come unaccompanied, and that no one with any fever or illness symptoms come into the building.  The day of the visit (or day before, if you are aware), if anyone is ill, please call to discuss with us.

Ill visits, particularly with any respiratory symptoms or fever, will generally be checked in via phone, seen (and any testing needed completed) in your own vehicle in the parking lot in specially designated spots.  Please plan to be in your vehicle for 15-30 minutes and bring things to occupy children accordingly.  This keeps you away from others’ sick germs and them away from yours.  We do have coverings prepared for the wet weather we are sure is coming!

Noelle will be doing telemedicine only visits for now, and LISA will do a limited number of telemedicine visits weekly.

Tracy is taking a limited number of new patients – infants (always!), children, and young adults, mostly via telemedicine visits.  This may change as more people are ill.

In this last week, consulting and learning from others in the county, the state, and across the nation, we are working hard to keep each of you safe and take the very best care of you, according to the ever updating research and guidelines.  We are thankful for you and honored to be caring for you, and our hopes and wishes go out to you and your families during this historic time.

3/13/2020: Dear Patients and Families,

Due to the current COVID-19 outbreak, we are taking every precaution to keep our patients and staff healthy, staying abreast of CDC and OHA recommendations.

Unless you were otherwise informed on Friday March 13, as of Monday, March 16, all regularly scheduled appointments for the next month are now canceled.  Our office will be reaching out to patients whom our providers feel need follow-up during that time.  These appointments may be scheduled as a telemedicine consult or an in-person appointment, depending on nature of the health concern.  In person visits for ill people will have special precautions as well, so please let us know if you have any fever or respiratory symptoms prior to the time of any in person appointment.

If you have a scheduled appointment that has been canceled, and feel you still need to be seen, if you would like to request a telemedicine visit, or if you don’t have an appointment but want one, please call us to schedule.  Most insurance companies are covering telemedicine visits at this time.    

Thank you for your cooperation and understanding during this unprecedented time.  We apologize for any inconvenience, and hope each of you stay safe and healthy.We are tracking CDC and Oregon Health Authority recommendations and working proactively to keep our patients, families, and staff as safe and healthy as possible.  Therefore, we have implemented several new protocols to try and reduce potential spread of the COVID-19 virus over the next few weeks.  We will continue to track CDC and Oregon Health Authority guidelines daily and we will keep you updated.

Scheduling precautions:

  • We will be scheduling well visits and follow ups only early in the mornings for patients who strongly desire to be seen or who have urgent physical health issues.  You may be asked to change your visit to another time or to a telemedicine visit to help keep you and our patients at risk healthy, we do apologize for any inconvenience.
  • We will be scheduling patients with any ill concerns either via telemedicine visit or with below.

Patient precautions:

  • If you are scheduled for a well appointment in person, please let us know as soon as possible if you have any illness symptoms (cough, sore throat, runny or stuffy nose, fever, vomiting, diarrhea, etc.) and do not come into the office during well visit times.  We will reschedule your or your child’s appointment to another day (if nothing urgent and you do not require evaluation), telemedicine visit, or time (to a vehicle visit if you are ill and require evaluation) to help protect our new infants, well elders, etc.
  • Patients that are not at high risk (under 5, over 65, with chronic respiratory or immune conditions) and with mild symptoms respiratory symptoms should stay home and monitor their symptoms from home.   If you feel you need to be evaluated by a provider, you can request a telemedicine visit.
  • Any accompanying family members or friends with any ill symptoms SHOULD NOT come in to the office during well times.
  • We are requesting that sick visit check ins be done via phone or text and that you stay in the car until a staff member is able to escort you directly to a freshly cleaned room.
  • Some ill visits are usually now done in your vehicle to prevent any potential cross contamination to or from you.  Expect to spend 15-30 minutes in your car for these visits, while tests are being run and initial visit notes are done via phone, and plan accordingly for the occupation of children.  If you do not have anything to occupy them, we do have tablets with kindle free time available on request.
  • Please use the hand sanitizer provided when entering the office (for all office visits).
  • If you are an elder, especially with risks, we recommend that you stay home as much as possible and avoid crowds, sick people, and many non-essential outings. 
  • All who go out should use good handwashing (Wash your hands often with soap and water for 20 seconds. If soap and water are not readily available, use an alcohol-based hand sanitizer that contains at least 60% alcohol) and avoid touching their faces (especially eyes, nose, mouth) as much as possible and not touch them at all with unwashed hands.
  • Never visit a hospital or long-term-care facility if you have a fever or cough illness.
  • Avoid close contact with people who are sick.
  • Clean and disinfect surfaces that are often touched.
  • Take care of your health overall. Staying current on your vaccinations, including flu vaccine, eating well and exercising all help your body stay resilient.
  • Consult the  CDC  and  OHA  websites for the most up to date information. 

Clinic precautions

  • It looks bare!  We have removed all toys, books, and magazines from the waiting room and clinic rooms to reduce risk of cross contamination.  We make every attempt to be on time, but if you are concerned about your or your child’s ability to wait if we are late, please bring something to do or some of your child’s own toys to help pass the time. This is particularly helpful if you are spending any time in the car as well (see above check in section).
  • We are sanitizing all surfaces between each patient – this obviously adds to room turn over time so request your understanding. We will do our best to stay on schedule. 
  • Staff will be wearing masks and protective clothing during visits with ill people, please prepare your children for that.

We hope with your understanding and co-operation that this will keep all of you, especially patients who are at high risk, safe and healthy.​