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What to Expect at Bend Chiropractic

New Patient Forms

Please download, print, and complete these forms so you can bring them with you to your first visit:

New Patient Intake Forms

EHR History & Exam

Release of Information

Massage Therapy Forms

Terms of Acceptance

HIPPA Privacy Policy


Free AdobeReader®

Each form is a PDF document file. If you do not already have AdobeReader® installed on your computer, you can easily download it for free.

Let’s Get Started

When you call to make your appointment, we’ll ask that you download the new patient form and bring this with you on your first visit. You can find these forms to the right of the page. Completing your paperwork prior to visiting us allows for a smooth first visit.

Your Consultation Visit

How long will it take? Your first visit should last no longer than 1 hour. What will we do? We’ll review your medical history and discuss any concerns you have. We want to maker sure that chiropractic care will work before we start your exam. What will happen during the exam? You’ll receive an X-ray if necessary.  The X-rays are needed so we can get a better idea of what the injury is and how we can help.

We’ll Report What We’ve Found

On your second visit we’ll discuss with you our Report of Findings. We will only take about 30 minutes of your time and will discuss the following:

  • An explanation of what we’ve found
  • How we can help
  • How long it will take
  • How much it will cost
  • Where do we go from here

Payment Options

  • We accept all major insurances.
  • We offer pre-paid plans. We are part of Chiropractic Health USA and Care Credit, which helps our cash patients.

Promoting a Healthy Lifestyle

We recommend patients to exercise regularly, stretch properly, and we offer nutritional advice after reviewing your dietary habits. We’ll show you exercises and have you do them in our office to get maximum results from your care. If you’re interested we’ll share our Advocare program that can help you with your nutritional needs.

Dinner Health Talks

If you’re interested in learning more about chiropractic and its benefits we’d like to invite you to our monthly dinner Health Talks. When you call us, we can give you more information about dates and times. Give us a call! We look forward to hearing from you. (586) 725-1111