The Seattle Chiropractor to see - Chiropractor Seattle

Online Paperwork

We offer our paperwork on line so you can complete it in the convenience of your own home.

 

New Patient Registration and Case History - For Chiropractic Care

Please complete this form before your first visit to Dr. Burick; it will help to know how we can help you best.

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New Patient Registration and Case History - For Nutrition Use Only

Please complete this form before your first visit to our office; it will help to know how we can help you best.

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New Patient Registration and Case History - For Massage Use Only

Please complete this form before your first massage visit.  It will help to know how we can help you best.

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Additional Paperwork for those involved in a Motor Vehicle Accident

These forms will be used to assess your health as a result of a Motor Vehicle Accident.

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Request for Transfer of Care (including Medical Records)

This form allows us to request your medical records and x-rays from a former care provider.

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Free AdobeReader®

Each form is a PDF document file.  If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.

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Dr. Mark Asks some important questions of interest to Seattle residents - Chiropractor Seattle Dr. Mark Asks...

What does a chiropractic adjustment do?
Chiropractic adjustments give your spine a little "nudge" at the right place, right time and the right direction so your body can use that energy to "right" itself. With a schedule of consistent chiropractic visits, a new, healthier spinal pattern emerges.
What are the two things drugs do?
Drugs can either speed up (laxatives, amphetamines, caffeine) a bodily process, or slow down (stomach antacids, sleep aids, antihistamines, muscle relaxers) a bodily process. Chiropractic care can produce the same results, but relies on the intelligence of the body. Chiropractors trust your body. Do you?