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

I really liked the clinic! Arleth manager is always responsible and helpful. Also Alyona and the girls on the front desk. The masseurs are super! Especially Joanne. I recommend it to everyone. Contact only here !!!!!!!
Rostyslav Perro
Rostyslav Perro
I highly recommend this place, Renata was really helpful
Adam Q
Adam Q
ibrahim
ibrahim
Love the people who work here and I enjoyed the treatment
nicc
nicc
Best clinic in town. They help me with my accident from start to finish. All of the staff was very friendly and helpful. Highly recommend this clinic.
Stefany Hernandez Rocha
Stefany Hernandez Rocha
Mike Sparrow
Mike Sparrow
amazing clinic. I will be coming back!
Ibrahim Yool
Ibrahim Yool
Jason Trees
Jason Trees
Charles Grixgby
Charles Grixgby
the massages are good and everyone there is nice!
Oksana Makovetska
Oksana Makovetska
Great massages! Everyone is so nice !
Irina Makovetska
Irina Makovetska
Yuliya Makovetska
Yuliya Makovetska
I had an amazing experience with Elite Medical Center. I’m so thankful to all their staff for efficient and helpful jobThe treatment was also really great. They helped me feel a lot better after my accident.
Pavel Gubceac
Pavel Gubceac
The best massage place!
Александра Чигарева
Александра Чигарева
Excellent care and noticeable improvements! Very happy with the results.
Samantha Knott
Samantha Knott
lovely environment and very helpful people.
Philly P
Philly P
If you need a massage place to help you out I would recommend for you to come here I loved this place
Joey Flin
Joey Flin
Love this place I would really recommend for you to come here if you ever get into a accident
Benjamin Parker
Benjamin Parker
I 💯 recommend to come here the staff and boss are awesome
John Boss
John Boss
I absolutely love this place
Yosyp Bosyuk
Yosyp Bosyuk
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
If you get involved in an unexpected accident, make sure to come to this medical center. They helped me with everything. Highly recommend
Faisal Mamedov
Faisal Mamedov
I was treated here and they are just awesome I would 💯 recommend to come here.
Joseph B
Joseph B
Very professional, Very nice place and good massages. Helped me a lot! Would ecommend!
Lilya Bosyuk
Lilya Bosyuk
I had a really good experience. They were professional, responsive, and made the process simple.highly recommend when looking for a car accident place in Portland
sarah tucker
sarah tucker
the best place to go if you need help after car accident. the best!!
stephanie johnson
stephanie johnson
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
Great clinic and staff. I will definitely be coming back.
naqib afzalyar
naqib afzalyar
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!
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

Call Now

(503) 889-0906

1350 SE 122nd Ave, Portland, OR 97233