Switch to Main Site
Practice Name

Sunrise Chiropractic

Primary Location
20320 SE Highway 212
Damascus, OR 97089
Phone: (503) 658-2225
Fax: (503) 658-4554

Office Hours

Day
Monday7:30 – 11:002:30 – 6:00
Tuesday7:30 – 11:002:30 – 6:00
WednesdayClosedClosed
Thursday7:30 – 11:002:30 – 6:00
Friday7:3011:00
SaturdayClosedClosed
SundayClosedClosed
Main Content

In order to provide you the best possible wellness care, please complete this form

Patient Data

Mailing Address

Current Complaints

Insurance Information

Signatures

Name of the Insured _____________________________________________

I understand and agree that health/accident insurance policies are an arrangement between an insurance carrier and myself. I understand and agree that all services rendered to me and charged are my personal responsibility for timely payment. I understand that if I suspend or terminate my care/treatment, any fees for professional services rendered to me will be immediately due and payable.

Patient's signature _______________________________________________

Date ____________________

Spouse's or guardian's signature __________________________________

Date ____________________

Medical History

Have you ever:

Family History

Habits

Have you ever suffered from:

“I really appreciate how helpful the whole staff is. I especially appreciate Dr.Dutcher's holistic approach and his treatment plans. He is very frank and direct in his teaching. He knew exactly what I needed, and when I needed it. I would not be feeling this much better had it not been for the referral and Dr. Dutcher's expertise! I am so blessed! Thank you Sunrise Chiroporactic. I honestly cannot think of anything that can change in terms of improving the clinic. I have enjoyed everything about my experience there.”

  • Nancy A.

Services

We strive to provide complete care for our patients. Learn more about all the services we provide.

View Services

I liked the fact that although I came to the office in great discomfort from my painful condition, Dr. Dutcher was looking at an end game. I greatly appreciated the enthusiasm to get me back too my old self. The Dr.'s professionalism and genuine care is a powerful combination. If I could do one thing to improve the Sunrise clinic it would be to move it closer to my house. But for the treatment and results I have achieved I am more than happy to travel.

- Paul M.

Office Hours

Day
Monday7:30 – 11:002:30 – 6:00
Tuesday7:30 – 11:002:30 – 6:00
WednesdayClosedClosed
Thursday7:30 – 11:002:30 – 6:00
Friday7:3011:00
SaturdayClosedClosed
SundayClosedClosed

Request an Appointment

(503) 658-2225

Contact

Sunrise Chiropractic
20320 SE Highway 212
Damascus, OR 97089
Get Directions
  • Phone: (503) 658-2225
  • Fax: (503) 658-4554
  • Email Us
From:  To:  Get Directions
Driving Directions: Reverse Directions Print Directions
Newsletter

Newsletter Sign Up










Community Content
Member Wellness