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Columbia Gorge Chiropractic offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic 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 Intake Form

Download & Print Form


Consent to Treatment Form

Download & Print Form


HIPAA Compliance  Patient Form

Download & Print Form


HIPPA Authorization Form

Download & Print Form


Auto Accident Form

Download & Print Form



Download the Free AdobeReader®

Now accepting new patients or call (503) 491-9266 to make your appointment.

Office Hours

DayOpenClosed
Monday9am6pm
Tuesday7am12pm
Wednesday9am6pm
Thursday7am12pm
Friday9am6pm
SaturdayClosedClosed
SundayClosedClosed
Day Open Closed
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9am 7am 9am 7am 9am Closed Closed
6pm 12pm 6pm 12pm 6pm Closed Closed