New Patient Paperwork
Shelton Chiropractic & Wellness offers our patient form(s) online so they can be completed in the convenience of your own home or office.
- All forms are PDF files. You will need AdobeReader® to view them.
- If you do not already have AdobeReader® installed on your computer,
Click Here to download. - Download the necessary form(s), print them out and fill in the required information.
- Bring the necessary form(s) to your appointment.
Appointment Compliance Agreement
Click to Download
CC Auth
Click to Download
Chiropractic Patient Intake
Click to Download
HIPAA & Financial Agreement
Click to Download
Massage Cupping Waiver
Click to Download
Massage Intake
Click to Download
Medicare ABN
Click to Download
MVC QUESTIONNAIRE
Click to Download
Patient Demographics
Click to Download
PDVAS & FOAS
Click to Download
Pediatric Intake
Click to Download
Record Request Auth
Click to Download
ReExamination
Click to Download
THIRD PARTY POL
Click to Download
OFFICE HOURS
Monday
9:00am - 6:00pm
Tuesday
9:00am - 6:00pm
Wednesday
9:00am - 6:00pm
Thursday
9:00am - 6:00pm
Friday
9:00am - 6:00pm
Saturday
8:00am - 12:00pm
Sunday
Closed
Shelton Chiropractic & Wellness
1635 Olympic Hwy N # 100
Shelton, WA 98584