Seattle Chiropractic & Massage Center offers our patient form(s) online so they can be completed 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 and print out the necessary form(s), then fill in the required information.
• Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Forms

Please click the link below and complete the patient intake form.

New Patient Auto Accident Form - Required [only if in a car accident]

This form gives us information about your car accident or personal injury case.

Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!