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Practice Name

Today's Chiropractic Clinic

Primary Location
614 S. 225th
Des Moines, WA 98198
Phone: (206) 878-2225
Fax: (206) 878-7488

Office Hours

Day
Monday8:30am-12pm2:30pm-6:30pm
Tuesday8:30am-12pm2:30pm-5pm
Wednesday8:30am-12pm2:30pm-6:30pm
ThursdayOut of OfficeOut of Office
Friday8:30am-12pm2:30pm-6:30pm
SaturdayOut of OfficeOut of Office
SundayOut of OfficeOut of Office
Main Content

Today's Chiropractic Clinic offers our patient form(s) online so you can complete it in the convenience of your own home or office.

  • 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 Health History Form - *Required

This let's us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form

Terms of Acceptance Form - *Required

Download & Print Form

Payment Types Form - *Required

Download & Print Form

Symptom Survey (optional, but recommended, if you would like a nutritional consult)

Download & Print Form

Pediatric Treatment Form (*Required for Children)

Download & Print Form

Massage Therapy Forms - Insurance, Auto/Work injury

Download & Print Form


Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form



Download the Free AdobeReader®

Exclusive Offer

Sign-up using the form or call us at (206) 878-2225 to make your appointment today!

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Featured Services

Services We strive to provide complete care for our patients. Learn more about all the services we provide. Make An Appointment We will do our best to accommodate your busy schedule. Schedule an appointment today! Online Forms Our patient forms are available online so they can be completed in the convenience of your own home or office.

Testimonials

Thank you for 15 years of chiropractic care! Ever since coming to you I have experienced better posture and instant relief from headaches and back pain. I can't thank you and Dana enough for your positive, caring and personal attention to my total health!"

Rocky M.
Des Moines, WA

Office Hours

Day
Monday8:30am-12pm2:30pm-6:30pm
Tuesday8:30am-12pm2:30pm-5pm
Wednesday8:30am-12pm2:30pm-6:30pm
ThursdayOut of OfficeOut of Office
Friday8:30am-12pm2:30pm-6:30pm
SaturdayOut of OfficeOut of Office
SundayOut of OfficeOut of Office
Day
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8:30am-12pm 8:30am-12pm 8:30am-12pm Out of Office 8:30am-12pm Out of Office Out of Office
2:30pm-6:30pm 2:30pm-5pm 2:30pm-6:30pm Out of Office 2:30pm-6:30pm Out of Office Out of Office

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