At Heresco Chiropractic & Associates, we offer patient forms online so you can complete them in the convenience of your own home or office. Fax us your printed and completed forms or you may bring them during your visit.
If you have any questions regarding your first visit, contact us today at (541) 757-9933 or email one of our team members at:
New Patient Intake Forms – Download and Print | Fill Out Online
Welcome to Heresco Chiropractic. Please print and fill out if you are New Patient to our clinic. What questions, concerns, goals, regarding wellness can we help you with? Let us know!
Established Patient History Update Form – Download and Print | Fill Out Online
Welcome back to Heresco Chiroparctic. Please print and fill out this form if has been more than 6 months since your last visit to the clinic.
Massage ONLY Intake Forms – Download and Print
If you have scheduled an appointment because you are having a massage only appointment, please print and fill out this form.
Scoliosis Screening Forms – Download and Print
If you have scheduled an appointment because you are having a scoliosis screening, please print and fill out this form.
Notice of Privacy Practices – Download and Print
Learn more about our privacy practices with this notice.
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