Palmer Chiropractic Clinic

Appointments: (206) 242-3700

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    • Home
    • about us
      • MORE ABOUT DR. DIANE
      • ABOUT THE CLINIC
      • OUR STAFF
    • OUR SERVICES
      • ON THE JOB INJURIES
      • INSURANCE
      • VA PATIENTS
      • AUTOMOBILE ACCIDENT
      • MASSAGE THERAPY
      • CONDITIONS WE TREAT
    • NEW PATIENTS
    • Español

Appointments: (206) 242-3700

Palmer Chiropractic Clinic
  • Home
  • NEW PATIENTS
  • Español

NEW PATIENT FORMS

Please fill out ALL forms that apply to you before your scheduled appointment if possible. Thank you, see you soon!

WELCOME FORM (pdf)

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AUTHORIZATION AND RELEASE (pdf)

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HIPPA PRIVATE NOTICE (pdf)

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PATIENT CONSENT TO X-RAY (pdf)

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AUTO ACCIDENT REPORT (pdf)

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ATTORNEY'S SIGNATURE FORM (pdf)

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MASSAGE POLICIES (pdf)

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  • ABOUT THE CLINIC
  • ON THE JOB INJURIES
  • INSURANCE
  • VA PATIENTS
  • AUTOMOBILE ACCIDENT
  • MASSAGE THERAPY
  • Español

Palmer Chiropractic Clinic

Palmer Chiropractic Clinic

(206) 242-3700

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