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Practice Name

Hess Chiropractic

Primary Location
1907 Garden Ave., Ste 102
Eugene, OR 97403
Phone: 541-844-4070
Fax: 541-687-4253

Office Hours

DayOfficeHours
Monday1:00pm5:00pm
Tuesday9:00am5:30pm
WednesdayClosed
Thursday9:00am5:30pm
FridayClosed
SaturdayClosed
SundayClosed
Main Content

Hess Chiropractic offers our patient form(s) below so they can be completed in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download all 4 of the required forms, print them and complete them prior to your appointment.
  • Fax your printed and completed forms to (541) 687-4253 or bring them with you to your appointment.

New Patient History Form - Required

Download & Print Form


History of Musculoskeletal Injury - Required

Download & Print Form


Patient Privacy Form - Required

Download & Print Form


Financial Agreement & Medical Records - Required

Download & Print Form


Motor Vehicle Accident History Form (only if you've had a recent car accident)

Download & Print Form


Neck Disability Form (only if you've had a recent car accident)

Download & Print Form


Low Back Disability Form (only if you've had a recent car accident)

Download & Print Form


 Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form



Download the Free AdobeReader®

Sign up using the form below or call 541-844-4070 to make an appointment.

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Services We strive to provide complete care for our patients. Learn more about all the services we provide. Make An Appointment We will do our best to accommodate your busy schedule. Schedule an appointment today! Online Forms Our patient forms are available online so they can be completed in the convenience of your own home or office.

Testimonial

I have benefited tremendously from the chiropractic care I received from Dr. Hess.

- John Doe / Eugene, OR

Office Hours

DayOfficeHours
Monday1:00pm5:00pm
Tuesday9:00am5:30pm
WednesdayClosed
Thursday9:00am5:30pm
FridayClosed
SaturdayClosed
SundayClosed

Meet the Chiropractor

Meet Dr. Hess Dr. Hess has been freeing people from pain since 1980 in his clinic in Eugene, OR. As a Chiropractor with experience, our professionals are committed to promoting the health and well being of his patients. Read More

Contact

  • 541-844-4070
  • 1907 Garden Ave., Ste 102 Eugene, OR 97403
  • Get Directions
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