Online Forms

Download New Patient Packet

Download Pregnancy Intake Paperwork

Download Pediatric Intake Paperwork

Download Postpartum Questionnaire

Medical Records Release Form

MVA PI Intake Form

Workman’s Compensation Form

HIPPA Privacy Practices Notice

City Fit Family Chiropractic Center LLC offers our patient forms online so they can be completed in the convenience of your home or office, before you even arrive for your appointment. You are welcome to print and complete these forms, or simply wait for us to send you an email with a link to our online intake which you can complete online.

 

For all new patients, please download and complete the new patient packet.

Print the correct forms and fill in the required information.

Share your paperwork with us in one of the following ways:

  •         Fax us your completed form(s) at 503-248-5626.
  •         Bring it with you to your appointment.

Additional Information on Forms:

  • If your appointment is in relation to prenatal care, pediatric care or a motor vehicle accident, please download the MVA PI form in addition the the New Patient Packet.
  • For new patients with an auto accident claim, please download both new patient paperwork and auto accident paperwork.
  • For new patients with a worker’s compensation claim, please contact the office regarding appropriate paperwork.
  • For new pregnancy or pediatric patients, please download the new patient paperwork as well as the appropriate forms for your situation.