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.

 Download & Print Form

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.

 Download & Print Form

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.

 Download & Print Form

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.

 Download & Print Form

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...

How do chiropractors help ADHD?
There is agreement that ADHD is a nervous system disorder. And while chiropractic isn't a treatment for ADHD, if your child has subluxations, resolving them will often produce profound results. Click here to learn why more and more Seattle parents are choosing natural chiropractic care rather than dangerous psychotropic drugs.
How does headache medication find the headache?
It can't! Chiropractors know that when you ingest a drug and it enters your bloodstream it numbs or deadens your entire body. Chiropractic adjustments, on the other hand, are specific, targeted and delivered with precision.