Monday & Wednesday 8:00am-6:30pm Tuesday & Thursday 8:00am-7:30pm Friday 8:00am-4:30pm

Saturday & Sunday Closed

503.288.4454

FrontDesk@PureLifeClinic.com

118 N Killingsworth St

Portland, OR 97217

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New Patients

Welcome to Pure Life Clinic.

We look forward to meeting you in person and helping you get back on the road to health!

We offer our new patient forms online to complete in the convenience of your home or office prior to your initial clinic visit.

What to bring to your first appointment:

  • Official ID – drivers license or ID card
  • Proof of Insurance (if you have it)

New Patient Form Instructions

  • All forms are PDF files. You will need Adobe Reader® to view them.
  • If you do not already have Adobe Reader® installed on your computer:
    Click here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring them with you to your appointment.

New Patient Forms

New Patient Chiropractic

New Patient Naturopathic

New Patient Acupuncture

New Patient Massage

Motor Vehicle Accident New Patient

Pure life LISTENS to your needs, wants, questions, and concerns. They create an environment that is inviting, peaceful, and comfortable. They look at the whole physical body and your social/emotional being connected. I leave every time feeling more in tune with my body and its needs, with realistic advice that I can apply to my everyday busy life.

- Katie

I always receive a great massage when I make an appointment. Always on time, great communication, friendly therapists and staff, 5 stars.

- Gregory S

Top-notch facility. They look at the whole body and understand how to bridge holistic & modern health. Can’t speak highly enough about the team there. It’s a must. You will know with your first visit.

- Jim S