New Patient Paperwork
The New Patient Intake Form is required for all new patients. If you are scheduling for a minor or are a minor yourself, we will need a parent or guardian to fill out the consent form. If you were involved in a motor vehicle accident or sustained an injury at work please also fill out the forms listed under the MVA/Work Injury page on this site.
You can print your paperwork out and bring in for your initial visit. Please arrive five minutes early so we can put your chart together. You may also fax your completed paperwork to (360) 647-5587 or send by email to hnchiro@yahoo.com
You can print your paperwork out and bring in for your initial visit. Please arrive five minutes early so we can put your chart together. You may also fax your completed paperwork to (360) 647-5587 or send by email to hnchiro@yahoo.com
| New Patient Intake Form |
| Consent to Treatment of a Minor |
Highley Chiropractic
2029 James St., Bellingham, WA 98225
Phone (360) 676-4488 Fax (360) 647-5587
2029 James St., Bellingham, WA 98225
Phone (360) 676-4488 Fax (360) 647-5587
