Patient Forms

Welcome to Elite Medical Center

Join our growing community of satisfied patients and enjoy the ease of filing our new patient form from home or online at Elite Medical Clinic.

At Elite Medical Clinic, we prioritize your convenience and aim to streamline your experience from the very beginning. That’s why we offer the option to complete our new patient form from the comfort of your own home or online. By taking advantage of this convenient feature, you can save time and effort by eliminating the need to fill out paperwork in the waiting room. Simply access our online form, provide the necessary information, and submit it securely. This not only expedites the check-in process but also ensures that we have all the essential details to provide you with personalized care right from the start.

Online Forms

New Patient Health History Form – Required

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!

Download & Print Form

Online Forms

Elite Medical Center offers our patient form(s) online so they can be completed in the convenience of your own home or 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.

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what patients are Saying

Patient Testimonials

Carlos Prades
Carlos Prades
Les comparto mi esperiencia en este sentro , con muy buenas atensiones y un exelente equipo de trabajo recomendado 100 por %
Esmir Martinez
Esmir Martinez
Nicolette Duffus
Nicolette Duffus
Thank you so much, Elite Medical Center, for helping me connect with my attorney Brian Hunt, who got me compensation almost two years after my car accident. Great atmosphere and truly kind people work there! 🙏
Vero Nika
Vero Nika
thank you for your good work, for really effective massages. good staff, friendly and always happy to help. I recommend
Діма Женерет
Діма Женерет
Yinsheng Chen
Yinsheng Chen
I had a wonderful experience at this office. Everyone here is very attentive, caring, and truly makes you feel comfortable. The atmosphere is warm and welcoming, and the staff goes above and beyond to make sure every visit is relaxing and enjoyable.Massage therapist Tori, Genevieve and JoAnn make sure to provide the best care!
Tatyana Voloshko
Tatyana Voloshko
Very good clinic, good staff, beautiful girls at the reception, good massage therapists — professionals in their field. The owner of this clinic is a very good person. I recommend.🙌
Саньок Волошан
Саньок Волошан
Evnika Sannikova
Evnika Sannikova
Luanne Scott-Stollewerk
Luanne Scott-Stollewerk
Maher Karam
Maher Karam
Good place to be very welcoming place feels like your at home
Hassan Hefow
Hassan Hefow
John Miller
John Miller
Great experience highly recommend coming here after car accident to get treatment!!
chloe w
chloe w
The care here is superb! Efficient and friendly front staff and talented massage therapists who really know their stuff and make an effort to collaborate with patients to make sure areas of pain are addressed.
Marissa Horne
Marissa Horne
Had really good experience here after my car accident 👍
Lina Guo
Lina Guo
Bing An
Bing An
Dilara Beyoglu
Dilara Beyoglu
Valentina Casap
Valentina Casap
Great staff. Love the complimentary snacks. Amazing massages for medical recovery.
Emanuel Ursu
Emanuel Ursu
Great service and help, along with amazing massages! The staff are so kind and friendly 😊
Christina
Christina
Abdul Ghafar
Abdul Ghafar
Mike Sparrow
Mike Sparrow
Jason Trees
Jason Trees
Charles Grixgby
Charles Grixgby
the massages are good and everyone there is nice!
Oksana Makovetska
Oksana Makovetska
Yuliya Makovetska
Yuliya Makovetska
alimzhan omarov
alimzhan omarov
В этой клинике очень хорошо относятся к пациентам,здесь работают внимательные, добрые и очень вежливые девушки. Классные и массажисты,мне очень нравятся массажисты Нова, Лина и другие. Замечательные девушки на фром деске. Всегда готовы оказать помощь менеджер, Александра, Алена. Здесь и сам Алеко внимательный, вежливый, добрый , отзывчивый . Приятно приходить сюда
Tatyana Litvinenko
Tatyana Litvinenko
Very professional, Very nice place and good massages. Helped me a lot! Would ecommend!
Lilya Bosyuk
Lilya Bosyuk
Definitely would recommend this clinic, everyone is really nice and helpful, they are always accommodating my busy schedule. The treatment plan worked well for me, I came in with neck and back pain after a car accident, within a few weeks I was feeling a lot better!
Ruvim Matveyev
Ruvim Matveyev
Abdi Najib
Abdi Najib
I’m so thankful to the staff for taking such great care of me after my car accident. Everyone was incredibly kind and helpful — I really appreciate it!
Ermin Kulbegovic
Ermin Kulbegovic
Iaroslav Kotsiuba
Iaroslav Kotsiuba
I loved my experience here at elite medical center! The staff were very welcoming and the environment is very friendly! I recommend this clinic if you got into a car accident, you won’t regret it:)
Alina
Alina
Nice massages, very nice people
Jimmy John
Jimmy John
Thank you very much to the staff of the medical center! Very attentive and friendly! I also liked the massage, I began to feel better after the injury I received at work.
Inga Niagu
Inga Niagu
Good massages, and the staff were very kind
Ballue 1
Ballue 1
The best Clinic to go for your auto accident recovery. You will be taken care of from start to finish. After an accident the most important thing you s getting back on your feet pain free. This is the place that will get you there. Starting with the warm greeting you get from the phenomenal reception to the tender care given from every massage therapist and Chiropractor you are in great hands.
Mary's Vegas Experience
Mary's Vegas Experience
Highly recommend. Everyone was kind and made me feel welcomed. I will definitely recommend this place to my friends and family.
darya montejo
darya montejo
The staff is so Friendly and patient. The team is Caring and will support you through an accident if you need!
Alaya
Alaya
Mr. Alex is the best ever I seen as well as their staff. Be happy love you all
Shariatullah Islami
Shariatullah Islami
I Highly recommend It’s a super clean environment and from the time I walked in the door the staff were amazing very attentive to all my needs and explained in depth which is very helpful. Elite definitely cares about there patients and will make sure you leave feeling better and with a smile.
Dasha Robins
Dasha Robins
Best chiropractic clinic in the area. Best customer service and very nice staff. Highly recommended!
Andrew Saweeris
Andrew Saweeris
Olga Zagreychuk
Olga Zagreychuk
Victoria Gusenkov
Victoria Gusenkov
i just finished my treatment at this medical center and it was great! everyone was so friendly and caring. the massages were super relaxing and really helped me feel better. i highly recommend this place!
Lana S
Lana S
i can't say enough good things about this medical center! i'm so grateful for the care i received! the massages were really good. the staff is really nice and helpful!🫶
Renata Sadbenova
Renata Sadbenova
Благодарю за заботу , внимание и предоставление качественных услуг. Мастерство , профессионализм, чуткость помогли мне справиться с проблемой и вернуться к здоровой жизни.
Lyudmila Sadbenova
Lyudmila Sadbenova
I'm so grateful for the care I received after my car accident! The combination of chiropractic adjustments and massages was exactly what I needed. All the employees were incredibly kind and supportive throughout my treatment. A huge thank you to everyone for their help, especially Alex. Thank you all so much!🤝👍
Bagdat Sadbenov
Bagdat Sadbenov

Call Now

(503) 889-0906

1350 SE 122nd Ave, Portland, OR 97233