Online Forms

180 Degrees 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.
  • Our basic New Patient Health History Form is interactive so no printing is necessary.  Just fill in your information and submit. The forms are sent right to our system.
  • 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! Just click the link, fill in your information and hit submit.  The information is automatically entered into our system.

Online Intake Forms


Massage Intake Forms

Fill out these forms if you will be receicing a massage in the office.  Just print off the forms, fill it our and bring in to the office when you come into the office.

Massage Intake


Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our chiropractic office. You can print the form out and bring it in to our office during your next visit with our chiropractor, or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form


Download the Free AdobeReader®
Exclusive Offer Image

New patients receive consultation, examination and x-rays for $75!

Sign-up using the form or call us at 425-636-8354 to take advantage of this exclusive offer.

New practice members only.
Offer may not be combined with some insurance plans.

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