Switch to Main Site
Practice Name

Back In Shape Chiropractic

Social Media
Primary Location
6501 SE King Road
Milwaukie, OR 97222
Phone: 503-788-3800
Fax: 503-788-8020

Office Hours

Day
Monday8:30am-12:30pm1:30pm-6:00pm
Tuesday9:00am4:00pm
Wednesday8:30am-12:30pm1:30pm-6:00pm
Thursday9:00am4:00pm
Friday8:30am-12:30pm1:30pm-6:00pm
SaturdayClosedClosed
SundayClosedClosed
Main Content

Back In Shape Chiropractic offers our patient form(s) online so they can be completed prior to your first appointment in the convenience of your own home or office.

  1. If you do not already have AdobeReader® installed on your computer, Click Here to download.
  2. Download the necessary form(s) by clicking below, print them and fill in the required information.
  3. Bring the completed forms with you to your appointment.

New Patient Paperwork

Download & Print Forms (Click red text to download)

Automobile Injury Forms (for auto accidents only)



Download the Free AdobeReader® (This program is needed to view and print the forms)

"Dr. Segal took time to really understand my overall health and needs. He put me at ease and gave great adjustments. I would highly recommend him!"
- Carissa / Portland, OR

Check out our great reviews!

Google+     Yelp

Services

We strive to provide complete care for our patients. Learn more about all the services we provide.

View Services

Office Hours

Day
Monday8:30am-12:30pm1:30pm-6:00pm
Tuesday9:00am4:00pm
Wednesday8:30am-12:30pm1:30pm-6:00pm
Thursday9:00am4:00pm
Friday8:30am-12:30pm1:30pm-6:00pm
SaturdayClosedClosed
SundayClosedClosed

Call Today!

503-788-3800

Contact

Back In Shape Chiropractic
6501 SE King Road
Milwaukie, OR 97222
Get Directions
  • Phone: 503-788-3800
  • Fax: 503-788-8020
  • Email Us
From:  To:  Get Directions
Driving Directions: Reverse Directions Print Directions
Newsletter

Newsletter Sign Up










Community Content