Patient Forms - Center for Chiropractic & Wellness

Schedule Online
Chiropractors
Acupuncturists
- Jeani Fink, LAc >
  - Jeani Fink LAc Services
- Alison Loercher, LAc
Massage Therapists
Patient Forms
About

Schedule Online
Chiropractors
Acupuncturists
- Jeani Fink, LAc >
  - Jeani Fink LAc Services
- Alison Loercher, LAc
Massage Therapists
Patient Forms
About

PATIENT FORMS

NEW ADULT PATIENT PAPERWORK

NEW PEDIATRIC PATIENT PAPERWORK

ACUPUNCTURE ADDITIONAL INTAKE PAPERWORK

RECORDS RELEASE

NEW PATIENT PAperwork

INSURANCE INFO | COVID-19 PROTOCOLS | CONTACT

Call 503-282-8582

3241 NE Broadway, Portland, OR 97232

Hours:
Monday: 9-5pm
Tuesday: 11-5pm
Wednesday: 9-5pm
Thursday: 9-5pm
Friday: 9-5pm

***For weather related closures, CC+W follows Portland Public Schools; if they are closed, we will be closed too.***

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