New Patient Forms
Dr. Jim Neilson, D.C, offers our patient form(s) online so they can be completed it 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 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
New Patient Health History Form
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!
Click Here To Download The New Patient Form

What Patients are Saying:
Without your treatments I would not have done so well at the Oregon Regional Yoga Competition & I would not be competing again at the World Championships next week! Thanks!
Kathy
Kathy
Jim has treated both my wife and myself on several occasions, he's truly an excellent practitioner. However, what really sets him apart from other practitioners I have experienced, is that he is quick to spot problems that may be better treated though more conventional methods, and will tell you so. Unlike some who would rather milk you than recommend alternative treatment.
Review from Google
Review from Google
After my adjustment, I slept so deep, best I've slept in 20 years.
Suzi
Suzi
Recent Posts
- Total Body Modification
- Eat to your health
- Neuro Emotional Technique
- How I can help your health
- Self-care techniques: Emotional Freedom Technique

