NEW PATIENT PAPERWORK

Oregon ProHealth Chiropractic offers our patient form(s) online so they can be completed at your convenience.

  • If you would like to fill out the forms online, please select the ‘New Patient Intake Form’ at the top right of this page.

NOTICE OF PRIVACY POLICY

Protecting the privacy of your personal health information is important to us. Disclosure of your protected health information without authorization is strictly limited to defined situations that include emergency care. Any other disclosures for the purposes of treatment, payment or practice operations will be made only after obtaining your consent. 

 

New Patient Forms, Please Start by Entering Your Contact Information Here:

Please do not submit any Protected Health Information (PHI).