Northwest Chiropractic Center, PLLC

Chiropractic Physicians and Massage Therapy in Kirkland, WA

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Forms you will need before your first visit

 By filling your paperwork out ahead of time, you will ensure you get the full amount of time with the doctor. This also helps all of our patients by helping the doctors to stay on schedule.

 


New Patients


Health Insurance and Cash

If you have never been a patient in our clinic and you are not coming as for treatment as part of a car accident or work injury, please fill out this paperwork ahead of time. There is an additional form that must printed from this link, but which is also available to fill out in the office.


Motor Vehicle Insurance

If you are a new patient to our office and are coming as part of a motor vehicle accident claim, please fill out this paperwork ahead of time. There is an additional form that must printed from this link, but which is also available to fill out in the office.


Work Injury, L&I

If you are a new patient to our office and are coming as part of a work injury claim, please fill out this paperwork ahead of time. There is an additional form that must printed from this link, but which is also available to fill out in the office.




Returning Patients


Health Insurance and Cash
If you have been a patient in our office and you are not coming as for treatment as part of a car accident or work injury, please fill out this paperwork ahead of time. There is an additional form that must printed from this link, but which is also available to fill out in the office.


Motor Vehicle Insurance

If you have been a patient in our office and are coming as part of a new motor vehicle accident claim, please fill out this paperwork ahead of time. There is an additional form that must printed from this link, but which is also available to fill out in the office.


Work Injury, L&I

If you have been a patient in our office and are coming as part of a new work injury claim, please fill out this paperwork ahead of time.There is an additional form that must printed from this link, but which is also available to fill out in the office.