Heart in Hand Chiropractic
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Patient Forms:

New Patient Forms:


  • New Patient Intake Packet

Motor Vehicle Patients:


  • Motor Vehicle Intake Packet

Energy Healing Form:


  • Energy Work Questionnaire

Insurance Benefit Form:


  • Insurance Checking Form
Heart in Hand Chiropractic
Mailing Address:
PO Box 182
Cloverdale OR 97112-0182
Phone: 503-936-6182

Overnight rentals available to Portland patients coming to the Coast office for treatment

Coast Clinic:
Tuesday 12PM - 4PM
Thursday 3PM - 5:30PM
Friday 12PM - 4PM
34360 Hwy 101 South
Cloverdale OR 97112
©Heart in Hand Chiropractic and Athena Paradise. All rights reserved.