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SCHEDULE YOUR $49.00 INTERNET ONLY EVALUATION SPECIAL TODAY. CALL (425) 821-1101 OR FILL OUT THE FORM BELOW.

This contact page is for current and perspective patients only. No solicitations!

Online Forms

Lake Washington Chiropractic offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.

  • If you do not already have AdobeReaderĀ® 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!

Chiropractic only Patient - Download & Print Form