Request an Application

Thank you for your interest in joining our network of high-quality integrative healthcare providers. We offer prospective providers the option to request an application through this easy, online form and, in some states, the option to complete your application online. Please complete the application request form below. Our staff will contact you within two business days.

If you have questions about CHP or the application process, please call our Provider Recruiting Department at 503-203-8333 or 800-449-9479 x501 or e-mail us any time at

Gender:  Male Female

Discipline:  Chiropractic Massage Therapy Naturopathic Medicine Acupuncture

Length of Time in Practice:

Preferred Method of Application Delivery:  Online E-mail Paper

If we need to contact you, what is your preferred method?

How were you referred?

I would like to be added to the CHP mailing list for future provider information:  Yes No

Terms & Conditions:  Yes I have read the Terms and Conditions and I acknowledge that CHP uses information collected
as stated in the Privacy Policy.