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Online Forms

Burien Family 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 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!
To fill out our online form please click below: (no printer required. It will be automatically uploaded into our records)
If you would prefer to fill out our form on paper you can print from these links:
If you were in a motor vehicle accident please print and fill out this form: https://intake.mychirotouch.com/BlankPDF/SupplementalPDF

Location

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Office Hours

Our regular schedule

Monday:
09:00 am - 12:00 pm
02:30 pm - 06:00 pm
Tuesday:
By Appointment
02:00 pm - 06:00 pm
Wednesday:
09:00 am 12:00 pm
02:30 pm - 06:00 pm
Thursday:
By Appointment
02:30 pm - 06:00 pm
Friday:
09:00 am - 12:00 pm
02:30 pm - 05:00 pm
Saturday:
Closed
Sunday:
Closed
Testimonials
Reviews By Our Satisfied Clients
"This place is awesome. I love the staff, they're all so friendly. Im really hard to adjust and can't just go to any chiro. Dr. Manchester can get my neck to unlock, every time. Make an appointment or just walk in, you'll be happy you did."
Felicia Kayne
"The staff is always so friendly and genuinely care how I feel every time I come in. I truly feel like they care about my health as much as I do. I’ve felt better every time I’ve come into the clinic. I’m a whole new woman; I have more energy, I have more mobility and knowledge about how to take care of myself. I would truly recommend this place to all of my family."
Natalie Ann Carter
"Would recommend bfc to anyone...good people. Thank you and ill be back."
Matt Storey

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