Complete Your New Patient Application

To make your first visit smooth and efficient, please complete your New Patient Application ahead of time. Filling it out in advance allows our team to review your health history, understand your goals, and maximize your time with you during your appointment.

  • Estimated time: 10–15 minutes

How to Complete Your Application


What to Bring & Wear

To make your visit as productive and comfortable as possible:

Bring:

  • Your insurance card (if applicable)
  • Any relevant medical records or imaging/X-rays
  • A list of medications or supplements you take
  • Notes about your health concerns or goals

Wear:

  • Comfortable, loose-fitting clothing for a full movement and posture assessment
  • Athletic wear is ideal if you plan on doing exercises during your visit
  • Avoid restrictive clothing that could limit your range of motion

Tip: If you’re coming for a massage therapy session, wear something comfortable that’s easy to change in and out of.


Why This Matters

  • Ensures a comprehensive assessment during your Discovery Visit
  • Helps your provider deliver personalized care and recommendations
  • Reduces wait times so your visit is focused on results, not paperwork

Important Notes

  • Please complete your application at least 24 hours before your appointment
  • If you’re unable to complete it online, arrive 15 minutes early to fill it out in-office
  • Questions? Call us at (541) 653-8086 — our team is happy to assist

OFFICE HOURS


Monday
9:00am - 7:00pm


Tuesday
9:00am - 12:00pm


Wednesday
2:00pm - 7:00pm


Thursday
9:00am - 7:00pm


Friday
Closed


Saturday & Sunday
Closed

Emerald City Family Chiropractic

45 Division Ave Suite H
Eugene, OR 97404

(541) 653-8086