New Patient Paperwork

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We are very excited for the opportunity to serve you.  In an effort to make this process easier and more convenient for you, we have our New Patient paperwork online and available for you to download.   If you prefer to complete this paperwork in our office, we are more than happy to provide it when you arrive. 

Please call (503)224-9513 to schedule your New Patient appointment.


 

If this is related to an auto accident, please download the following;

Confidential Patient Information

Accident Description

New Patient History

 

For every other circumstance, download the following;

Confidential Patient Information

New Patient History

 

 

The Big Idea

The Big Idea

Find Us

City Chiropractic is located at:
806 SW Broadway
Suite 350
Portland, OR 97205
503-224-9513

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Hours
Mon, Wed, Fri
9:00am-6:00pm
(closed for lunch 1:00-2:30)
Tues, Thurs
2:30pm-6:00pm