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New Patient Intake


At Ellensburg Chiropractic,  we offer patient forms online so you can complete them in the convenience of your own home or office.


Upon entering the office, please come prepared with the following paperwork thoroughly completed online or bring in the completed downloaded form, as well as your health goals and objectives. Also, please bring current insurance card and photo ID.

Please click on one of the links below to fill out your New Patient Online Intake Form!

  • We encourage you to conveniently fill out the form online.

  • If you choose to download the form instead and bring it down you and 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.

  • Email us your printed and completed form(s) or bring it with you to your appointment.

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