New Patient Paperwork

Back To Basics Chiropractic offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Please fill the New Patient Paperwork as completely as possible on a computer, not a cell phone or a tablet.
  • No need to print anything as the paperwork will download directly into your file. Feel free to read through HIPAA and Informed Consent, we will have you sign these in the office.

9:00am - 12:00pm
2:00pm - 6:00pm

9:00am - 12:00pm
2:00pm - 6:00pm

9:00am - 12:00pm
2:00pm - 6:00pm

9:00am - 12:00pm
2:00pm - 6:00pm

Open for Massage
By Appointment Only

Saturday & Sunday

Back To Basics Chiropractic
1895 NE 106th Avenue
Hillsboro, OR 97006
(503) 547-8400