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Patient Forms
Click & Print
Here you will find forms that may be used for various office purposes. Simply click on the needed form and print it from your computer. Filled out forms may be brought in or faxed to 360.570.9583 |
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General Forms:
- Chiropractic Registration And History | Click Here
- Financial Policy | Click Here
- Personal Health Records Privacy/Access Policy | Click Here
- Informed Consent to Chiropractic Adjustments & Care | Click Here
- Non-Comliance of Healthcare Advice | Click Here
Accident & Questionnaire Forms:
- Vehicle Accident Information | Click Here
- Back Pain Disability Questionnaire | Click Here
- Neck Disability Index Questionnaire | Click Here
- Maternity Intake Form | Click Here
Massage Therapy Forms:
- Massage Intake 1 | Click Here
- Massage Intake 2 | Click Here
- Massage Cancellation Policy | Click Here
- Personal Health Records Privacy/Access Policy | Click Here
*You will need to have Adobe Reader installed on your computer to view and print these files.
If you do not have it please click the logo below.
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