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

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!
Daniya Martin
Daniya Martin
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
I had an excellent experience at this clinic! Everyone was incredibly professional and sweet, making me feel welcome and comfortable right away. The environment was so nice and peaceful, which really helped me relax and enjoy my massage. It was clear that everyone knew what they were doing. I highly recommend this clinic to anyone looking treatment after a car accident!
Olena bosyuk
Olena bosyuk
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
darya kim
darya kim
I wanna give you 10,000 starsThis is staff very niceArleth amazingThank you so much
omar Abdul
omar Abdul
Amazing clinicThe staff is very attentive and helpful throughout the whole process.
boba tarik
boba tarik
Hadeel Al.qaysi
Hadeel Al.qaysi
Very amazing place!!
Cesar Vidal
Cesar Vidal
andro romany
andro romany
Amazing experience, great service, friendly staff. Definitely recommend 🙏
vera osiychuk
vera osiychuk
My massage was bomb!
Taylor Spinelli
Taylor Spinelli
Excellent care provided at Elite Medical Center! Top quality, clean, friendly, and helpful staff and service!
kylle mccullah
kylle mccullah
Exact attention qualified people! I recommend it
Mariber Delgado toyo
Mariber Delgado toyo
Nice staff and nice center overall
Joel Galindo
Joel Galindo
so good
Nikita Shevchuk
Nikita Shevchuk
Alla Spelciuc
Alla Spelciuc
Elite Medical Center is fantastic! The staff are super professional and caring, and the facilities are top-notch. I felt really comfortable and well taken care of during my visit. Highly recommend them!
Sama Skye
Sama Skye
Clean, well maintained, and helpful staff. Thank you Renata. Highly recommend! 👌
abdul kojazade
abdul kojazade
After a car accident, I was dealing with constant pain in my back and neck. I decided to try massage therapy — and it was the best decision I could’ve made! The care, professionalism, and attention to detail were outstanding. After just a few sessions, I felt a huge improvement. I'm truly grateful for the help and support. Highly recommended for anyone recovering from an injury!
Саша Басюк
Саша Басюк
Oksana Kotsiuba
Oksana Kotsiuba
I want to express my deep gratitude to Elite Medical Center! The staff is extremely welcoming and friendly, starting from the front desk — the reception team always greets you with a smile and is ready to help. The massage therapists are true professionals — very attentive and knowledgeable. I also want to mention the owner — a very pleasant and hospitable person. The atmosphere in the center is warm and caring; you can really feel that they want to help you. They truly helped me. I sincerely recommend this center to anyone looking for quality service and real results!
Vlad Basiuk
Vlad Basiuk
If anyone would ask me for a reference to chiropractor and massage therapy clinic, I would definitely recommend this Elite Medical Center! These people will take care of you ❤️
Natalya Serkov
Natalya Serkov
Elite Medical Center provided excellent service. The front desk staff were polite and efficient, making everything quick and easy. Special thanks to Renata for her professionalism and warm, helpful attitude. Highly recommended!
Aliya Manukyan
Aliya Manukyan
I would like to sincerely thank the team at Elite Medical Center. The staff is very polite and attentive, the doctors are highly professional, and the equipment is modern and up-to-date — everything is at a high level. I especially want to highlight the massage therapist Tori — she is truly amazing at what she does! Very gentle, precise, and attentive. After her sessions, I feel refreshed and full of energy. The clinic has a pleasant atmosphere, is clean and comfortable — from the very first visit, you feel like you’re in good hands. Thank you for your care and excellent service!
Тоха Сухоручкин
Тоха Сухоручкин
Michael M
Michael M
___________
___________
I had an amazing experience with Elite. Their staff is very efficient and helpful. The treatment was also really great. They helped me feel a lot better after my accident.
nasim anwari
nasim anwari
Я сам профессиональный массажист и я что то но понимаю в этом деле .Я попал в аварию и я попал в Elite Medical Center и прошёл курс 40 массажей. Все массажисты мне очень понравились хотя они все разные.Доктора очень внимательно и профессионально проделали свою работу.девочки на reception знают своё дело. Адвокаты профессионалы своего дела .Конечно же всё это организовано боссом заведения Алексом.спасибо за ваш труд и заботу! С уважением Виталий.
Vitalii Poluektov
Vitalii Poluektov
I had an excellent experience at Elite Medical Center. From the moment I walked in, the staff was incredibly welcoming and professional. The facility itself is state-of-the-art, clean, and well-organized. The doctors and nurses were attentive, knowledgeable, and genuinely cared about my well-being. They took the time to explain everything in detail and answered all my questions patiently. I felt confident and well taken care of throughout my visit. I highly recommend Elite Medical Center to anyone seeking help
Andro Girgis
Andro Girgis
They took care of me from beginning to end. The staff is amazing and accommodating. The chiropractor was very attentive to my problems. I couldn’t ask for more. They will go the extra mile to make sure you are taken care of. Highly recommend if you’ve gotten into a car accident. I was referred to this place and I’m so happy I listened.
Sumon Medhanie
Sumon Medhanie
Irina Dukhonina
Irina Dukhonina
Excelente quiropráctico bueno trato y atención
Luis García
Luis García
Саньок Волошан
Саньок Волошан
Roman S.T
Roman S.T
Natalia Stepochkina
Natalia Stepochkina
Hellen is very good massage therapist. She is amazing 🤩
Елена Нягу
Елена Нягу
Professionals who know their jobs are friendly people great reception
yuliea cedirean
yuliea cedirean
I strongly recommend Elite Medical Center for injury treatment. Their staff is professional, and they truly prioritize their patients' well-being, making sure everyone receives the right care to heal and recover effectively.
Raylon
Raylon

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(503) 889-0906

1350 SE 122nd Ave, Portland, OR 97233