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Total Life Chiropractic offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic 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.

Required Forms

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!

New Patient Forms

Minor Consent

Auto Injury History

Low Back Questionnaire

Neck Disability Index

School Sports Physical form

Download the Free AdobeReader®

Exclusive Offer

Sign up now for a free consultation!

THIS ---->https://chiropractor-bend-oregoncom.chiromatrixbase.com/online-forms.html

Office Hours

Monday9 - 121 - 6
Tuesday9 - 121 - 6
Wednesday9 - 121 - 6
Thursday9 - 121 - 6
FridayBy Appt.By Appt.
SaturdayBy Appt.By Appt.
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9 - 12 9 - 12 9 - 12 9 - 12 By Appt. By Appt. Closed
1 - 6 1 - 6 1 - 6 1 - 6 By Appt. By Appt. Closed


Dr. Marion is wonderful! He is caring, professional, and available for same day appointments when an emergency adjustment is necessary!

Kathy O.

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