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