We prefer forms filled out electronically via our OnPatient Portal. If you would like access to do your forms online, please contact the clinic by phone at 541-928-1010, or check your email (invitation may be in spam box).
Advanced Chiropractic offers our patient form(s) online so you can complete it in the convenience of your own home or office.
- If you do not already have AdobeReader® installed on your computer,Click Here to download.
- Download the necessary form(s), print it out and fill in the required information.
- Fax us your printed and completed form(s) or bring it with you to your appointment.
New Patient Health History Form - Required
This let's us know the history and current state of your health. Help us help you!
Additional Health Questionnaire Forms-
If you would like our office to be able to discuss your medical care, insurances or finances with anyone other than yourself, please complete this form:
Family Discussion Consent Form - Download & Print
If you made an appointment due to a motor vehicle accident, please complete this form AND the New Patient Health History Form (above):
MVA Intake Form - Download & Print
If you are making an appointment due to an injury which occurred at work, please complete this form AND the New Patient Health History Form (above):
Informed Consent Form - Download & Print
Intake Form - Download & Print
Notice of Privacy Practices Form - Download & Print Form
Work Injury Questionnaire - Download & Print