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Request Appointment

206-324-2225
Our office has relocated as of April 1st, 2017 to
1401 E. Jefferson St. Suite 501 Seattle, WA 98122
Our office will be CLOSED Monday May 29th for Memorial Day. We will re-open on Tuesday at 3pm.

Atlas Chiropractic Health Center offers our patient form(s) online so they can be completed it in the convenience of your own home or 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!

Download & Print Form

Auto Accident Form

Download & Print Form


Worker's Compensation Form

Download & Print Form



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 office. You can print it out and bring it in to our office 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

Massage Therapy Registration & History Form

Download & Print Form



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