The forms are here for your convenience. Please bring them with you to your appointment to save your time.
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- Download the necessary form(s), print it out and fill in the required information.
- Fax us your printed and completed form(s) or bring it with you to your appointment.
Confidential Patient Questionnaire - Required
This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!
Download & Print FormCar Crash Questionnaire
On The Job Injury Questionnaire
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| Mon | 9:30 - 1 | 2:30 - 7 |
| Tue | Closed | 2:30 - 7 |
| Wed | 9:30 - 1 | 2:30 - 7 |
| Thu | Closed | 2:30 - 7 |
| Fri | 9:30 - 1 | 2:30 - 7 |
| Sat | Closed | Closed |
| Sun | Closed | Closed |
Contact
Dr. William Schneider at Chiropractic Central
1935 NE 39th Ave.(Cesar Chavez Blvd.)
Portland, OR 97212
Get Directions
1935 NE 39th Ave.(Cesar Chavez Blvd.)
Portland, OR 97212
Get Directions
- Phone: 503-288-0227
- Fax: 503-288-4010
- Email Us
