Skip to content

Hanes Chiropractic Wellness Paperwork

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 (541) 447-5775.

Patient Intake

Download & Print Form

Health History

Download & Print Form

Metabolic Questionaire

Download & Print Form

Personal Injury Intake Form

Download & Print Form


Free AdobeReader®

Get adobe readerEach 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.

Contact Hanes Chiropractic Wellness today to make an appointment.