elemental medicine, we strive to help you achieve total health 
503.505.9677
  • Home
  • Chiropractic
    • Chiropractic FAQs
    • Forms and Fees
    • Specialties
  • Fascial Manipulation©
    • Forms and Fees
  • Acupuncture
    • Acupuncture FAQs
    • Forms and Fees
  • Massage Therapy
    • Forms and Fees
  • Schedule an Appointment
    • Contact
  • Membership
    • 30-minute standard Chiropractic Enthusiast
    • 45-minute expanded Chiropractic Enthusiast
    • 60-minute Massage Enthusiast

New Patient Registration Packet (6 pages)

These forms provide the office with all of your contact information, outlines the financial obligations and is the privacy policy and consent form.  Also included is a health history form where you can indicate your current area of complaint, as well as a brief history of your past injuries, illnesses, medications and accidents.  It is 6 pages in length.

Fees for payment in full at time of service:

Massage Therapy - $85 / 60 minutes
                                         $125 / 90 minutes

Now offering memberships so you can save!
This special 1-year membership program is designed to help you receive the full benefits of regular chiropractic care and massage therapy without breaking the bank. You will be auto-billed through Pay Pal, so all you have to do is let us know when you want to come in each month. Click here for full details.


Missed Appointments: There is a $50 charge for cancellations within 24 hours of your scheduled appointment time.


Student and Senior Discount: 25% off above prices when paid in full at time of service.

Create a free website with Weebly