Health History

We offer our paperwork on line so you can complete it in the convenience of your own home. Here are the essential forms we use and why we need them.

Please fax these forms back to our office after they are completed. The fax number is (541) 447-5775.

This lets us know what’s happened, but perhaps more important, where do you want to take your health?

Patient Intake  Download & Print Form

Health History   Download & Print Form

Metabolic Questionaire  Download & Print Form

Personal Injury Intake Form  Download & Print Form


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Each form is a PDF document file.  If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.

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 Dr. Hanes Asks some important questions of interest to Prineville residents - Chiropractor Prineville Dr. Hanes Asks...

Will chiropractic adjustments make my spine too loose?
No. Only the spinal joints that are fixated and "locked up" receive attention. The occasional spinal joint that moves too much is passed over so weakened muscles and ligaments can strengthen and heal.
Why do so many drugs require a prescription?
Because they can be dangerous? I chose a chiropractic career specifically because it avoids artificial means of pain relief. Our Prineville chiropractic practice attracts health-conscious families that prefer a safe and natural solution. Ready to get started? Call our office today.