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4339 West Kennewick Avenue

Kennewick, WA 99336 US

509-735-0311

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Online Forms

Chan Chiropractic Clinic, P.S. offers our patient form(s) online so they can be completed it in the convenience of your own home or office. Here are the essential forms we use and why we need them.

  • 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 Intake/Information Forms

This let's us know what's happened, but perhaps more important, where do you want to take your health?

Download & Print Form


Motor Vehicle Collision Questionnaire (includes New Patient Forms)

If your health issue is the result of a car accident, we need some additional information. Only fill out the pain disability questionnaires that pertain to your injury.

Download & Print Form


Massage Therapy Intake Forms

Download & Print Form


Download the Free AdobeReader®

Kennewick Office

Monday:

8:00 am-12:00 pm

2:00 pm-6:00 pm

Tuesday:

8:00 am-12:00 pm

2:00 pm-6:00 pm

Wednesday:

8:00 am-12:00 pm

2:00 pm-6:00 pm

Thursday:

8:00 am-12:00 pm

2:00 pm-6:00 pm

Friday:

8:00 am-12:00 pm

2:00 pm-6:00 pm

Saturday:

Closed

Sunday:

Closed

CONTACT US TODAY

We look forward to hearing from you