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Online Forms

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!

Download & Print Intake Form


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:

Download & Print Discussion Consent Form

If you made an appointment due to a motor vehicle accident, please complete this form AND the New Patient Health History Form (above):

Download & Print MVA Form

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):

Download & Print Worker's Compensation Form

Notice of Privacy Practices

Informed Consent

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Contact Us

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Our Location

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Office Hours

Monday:

8:00 am-6:15 pm

Tuesday:

8:00 am-6:15 pm

Wednesday:

8:00 am-6:15 pm

Thursday:

8:00 am-6:15 pm

Friday:

8:00 am-6:15 pm

Saturday:

Closed

Sunday:

Closed