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