Admitting Paperwork

We offer our paperwork on line so you can complete it in the convenience of your own home. Here are the essential forms we use and why we need them.


Intake Forms

This let’s us know what’s happened, but perhaps more important, where do you want to take your health?

Download & Print Form



Massage Questionnaire

 Download & Print Forms


Let the Bend chiropractor answer all of your questions. Give us a call today!



Free AdobeReader®

Each form is a PDF document file.  If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.




Dr. Daniel Bourque
354 NE Norton Ave., Bend, OR
(541) 389-1191

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