YourSeattleChiropractor.com — Wednesday, September 8, 2010

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New Patients

On your first visit, we will ask you to complete a patient questionnaire and history. You may save yourself time and complete the paperwork before your first visit.

All forms are in Adobe PDF format. You’ll need Adobe Reader, a free download, to view and print the forms.
You can print out our initial paperwork by clicking the links below:

First Visit & Initial Paperwork:

 New Patient – Outline of Procedures For Care Form

 Notice of Privacy Practice form

 Office Policies form

 Office Policies form

 Accident History form – only if involved in an automobile accident

 Personal Injury Billing Information – only if involved in an automobile accident

New Patients

New Patients