New Patient Paperwork

Yakima West Valley Chiropractic Centres offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader┬« to view them…
  • If you do not already have AdobeReader┬« installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

printer iconConfidential Patient Paperwork – Click Here to Download
printer iconNew Patient Intake Form – Click Here to Download

Last Updated: November 16, 2017 at 2:13 pm
inceptionNew Patient Paperwork