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

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



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Informed Consent

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Services
We strive to provide complete care for our patients. Learn more about all the services we provide.
Make An Appointment
We will do our best to accommodate your busy schedule. Schedule an appointment today!
Online Forms
Our patient forms are available online so they can be completed in the convenience of your own home or office.
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