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Online Forms

Eastside Chiropractic Services 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.
  • Email us your printed and completed forms or bring them with you to your scheduled appointment. 

Chiropractic New Patient Forms - Required

This section of paperwork is for our Chiropractic services. It includes Patient Registration, Health History forms, our Office Policies, and HIPPA form to give us the best look into your life to provide the best possible treatment plan. 

Download & Print Forms


Acupuncture New Patient Forms - Required

This section of paperwork is for our Acupuncture Services. It includes Patient Registration, Health History forms, Acupuncture Informed Consent, Acupuncture Policies, and the HIPPA form. 

Download & Print Forms


Massage Therapy New Patient Forms - Required

This section of paperwork is for Massage Therapy. it includes Patient Registration, Massage Health History, Massage Information & Policies, a General Pain Index, and our HIPPA form. 

Download & Print Forms


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Exclusive Offer

New Patients Receive a Free Consultation

Location

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Office Hours

Our Daily Schedule

Eastside Chiropractic Services

Monday:

8:00 am-6:00 pm

Tuesday:

8:00 am-6:00 pm

Wednesday:

8:00 am-6:00 pm

Thursday:

8:00 am-6:00 pm

Friday:

8:00 am-6:00 pm

Saturday:

9:00 am - 12:00 pm

Sunday:

Closed