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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 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

Exclusive Offer

Interested in hearing more? Request information!

Sign-up using the form or call us at 541-928-1010 to get more information about our practice.

Come in and see us at 1117 Pacific Blvd SE.

THIS ---->https://advancedchiroclinic.chiromatrixbase.com/new-patient-center/online-forms.html

Office Hours

Day
Monday8:00am6:15pm
Tuesday8:00am6:15pm
Wednesday8:00am6:15pm
Thursday8:00am6:15pm
Friday8:00am6:15pm
SaturdayClosedClosed
SundayClosedClosed
Day
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8:00am 8:00am 8:00am 8:00am 8:00am Closed Closed
6:15pm 6:15pm 6:15pm 6:15pm 6:15pm Closed Closed

Testimonial

My quality of life really improved when I made the decision to visit the office. Their attention, compassion, and professionalism reflects the great experience I had at Advanced Chiropractic.

A Satisfied Patient.
Albany, OR

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