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:
If you would prefer to fill out our form on paper you can print from these links:
Health Questionnaire- https://intake.mychirotouch.com/BlankPDF/BasicPDF?clinic=BFC0021
If you were in an auto collision please print and fill out this form: https://intake.mychirotouch.com/BlankPDF/SupplementalPDF