Online Forms

Northwood Health Center offers our patient form(s) online so they can be completed in the convenience of your own home or office.  If you would prefer to complete our forms in the office with our assistance, you may call now to schedule an appointment.              503-981-4591

• If you do not already have AdobeReader® installed on your computer, Click Here to download.
• Download the necessary form(s), print it out and fill in the required information.
• You may Fax us your printed and completed form(s) to 503-982-3308 or bring it with you to your appointment.

New Patient Registration Form - Required

Thank you for choosing Northwood Health Center for your treatment needs.  Please complete the following form and bring it with you on your first visit.  By completing forms at home, you will substantially decrease the time required in our office.  All the information on the registration form is important to us, so please be complete, accurate and thorough.  On the referral section, please try to be specific on how you found out about our office.  We like to reward those who refer patients.

Automobile Crash History Form-

If you were involved in a car crash, it is important to get an evaluation as soon as possible to determine if any injuries are present.  The following form asks a lot of questions regarding things we specifically look for when managing car crash injuries.  By completing this form at home, you are allowed to take your time and make sure you don't forget anything.  Try to be as thorough and accurate as possible.  This is key information the doctor uses to determine your injuries and treatment needs.  Even the smallest details can make a difference.  So, take your time and be complete.  Also, please read through our automobile crash section in this website for reasons why everyone involved in the crash should be evaluated.

Download & Print Form

Workers' Compensation Injury Form-

Oregon law specifically states that if you are injured on the job, you have the right to seek treatment from any health care professional you choose.  If you were injured on the job, and you have not already seen a chiropractor for that injury, please download the following questionairre for your accident history.

Download & Print Form

Download the Free AdobeReader®