Family Chiropractic Wellness Center offers our patient form(s) online so they can be completed it in the convenience of your own home or office.
- If you do not already have AdobeReader® installed on your computer, Click Here to download.
- Download the necessary form(s), print it out and fill in the required information.
- Fax us your printed and completed form(s) or bring it with you to your appointment.
New Patient Health History Form - Required
This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!
Any questions, Please Call (509) 946-7692
Click link below to complete paperwork before appointment:
Download & Print Consent to Treat a Minor
Download & Print Pediatric Intake Form (For patients under one year old)
Patient Forms for Massage Patients
Download & Print Massage Intake
Download & Print Massage Cancellation Policy