Online Forms

Online Forms

At Accident and Injury Chiropractic, offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download it now.

  • Download the necessary form(s) and fill in the required information.

  • Fax or email us your completed form(s) or bring them with you to your appointment.

  • Download: New Patient Health History Form - Required

  • DOWNLOAD

  • Submit Online: New Patient Health History Form - Required

  • CLICK HERE

  • Submit Online: Insurance Verification Form - Required

  • CLICK HERE
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Roya1234 none 8:00 AM - 12:00 PM2:00 PM - 6:00 PM 10:00 AM - 12:00 PM2:00 PM - 6:00 PM 8:00 AM - 12:00 PM2:00 PM - 6:00 PM 8:00 AM - 12:00 PM2:00 PM - 6:00 PM Closed 8:00 AM - 12:00 PM Closed chiropractor https://www.google.com/search?hl=en-US&gl=us&q=Accident+and+Injury+Chiropractic,+1702+S+72nd+St,+Tacoma,+WA+98408&ludocid=18388555734339300545&lsig=AB86z5VAKBYyfOkhrihb4Ony2XoL#lrd=0x54910030742b1fd9:0xff3146037dc42cc1,3 https://www.yelp.com/writeareview/biz/vzFupy0syDxXFOmZi8zYAg?return_url=%2Fbiz%2FvzFupy0syDxXFOmZi8zYAg&source=biz_details_war_button https://www.facebook.com/pg/AccidentAndInjuryChiropractic/reviews/?ref=page_internal