Request an Appointment

Are you ready to come in to start the healing process? Well we'd love to help you start down that road. Please fill out the form below to request an appointment. Although we can't guarantee that your first or second choice dates will be available, we will make every effort to find a time that is convenient for you. A member of our staff will respond to your request within 1 business day. If you are looking to schedule an appointment within the next 24 hours, please call our office directly for availability.

First Name

Last Name

Phone Number

Email Address

Type of Patient

New Patient
Existing Patient

Please enter the dates as DD/MM/YY.

First Choice Date
(Mon. - Sat.)

Second Choice Date
(Mon. - Sat.)

Time Preference

Morning (9am - 11am)
Midday (11am - 1pm)
Afternoon (1pm - 5pm)
Anytime (9am - 5pm)

Reason for Appointment

Security Code

Align Acupuncture and Chiropractic | Dr. Laurel Johnson, D.C., L.Ac., Dipl. O.M. | Serving the Portland Oregon Metro Area

Request an Appointment