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Online Forms

Advantage Chiropractic & Massage offers our patient forms online so they can be completed in the convenience of your own home or office.


New Patient Health History Form - Required

To better serve you, please click the link below to fill out the Patient Intake form prior to your appointment. The intake gives the doctor detailed information about your health history to best understand your needs during your initial visit.

https://www.mychirotouch.com/patientintake/?clientid=ACM0001


If you are unable to complete the form online, please print the correct form below and bring it with you to your appointment.

  • 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.

Patient Intake Form

Pregnancy Intake Form

Child Intake Form (newborn - 12 years old)

Adult Auto Accident Intake Form

Child Auto Accident Intake Form

Worker's Comp/L&I Intake Form

Medicare Intake Form

Massage Intake Form



Download the Free AdobeReader®

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Location

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Office Hours

Our Regular Schedule

Monday:

Closed

12:00 pm-4:00 pm

Tuesday:

9:00 am-1:30 pm

3:00 pm-6:00 pm

Wednesday:

9:00 am-1:30 pm

3:00 pm-6:00 pm

Thursday:

9:00 am-1:30 pm

3:00 pm-6:00 pm

Friday:

9:00 am-1:30 pm

3:00 pm-6:00 pm

Saturday:

8:00 am-12:00 pm

Sunday:

Closed