Please see the documents below for new patients to fill out. The "Patient Intake Forms" must be completed and recieved by our office before we can schedule your appointment. If you are struggling to complete your forms we highly suggust having a family member or friend to assist you. If you have any questions or need any assistance with forms please call our office at 503-512-5359.

When arriving to your appointment please be 15 minutes early and bring in your Drivers License or ID, and Health Insurance card. If it is an Auto Accident then please bring your Auto Insurance card or information for the paying parties Auto insurance information.

All Patient Intake Forms and corresponding documents can be returned by:
Email to: office@concussionpdx.com
Fax to: 971-249-8767
Mailed or Delivered to:
Live Well Health, PC
7100 SW Hampton St Suite 121
Tigard, OR 97223

If you are being seen for a workers compensation injury the "827 form" must also be completed.

If you are a self pay patient ask one of our team members about ChiroHealth USA to recieve 20% off on all of our services!

Please feel free to give us a call at 503-512-5359 if you have any questions.

The Oregon Health Authority Notice of Privacy Practices describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully. If you have questions about this notice, please contact the privacy office, which is part of the Oregon DHS/OHA Information Security and Privacy Office (ISPO) at dhs.privacyhelp@dhsoha.state.or.us or by telephone at 503-945-5780.