New Patient Paperwork

Pacific Northwest Chiropractic 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.
  • Chiropractic Patient Forms

    Click to Download

  • Chiropractic Patient / Auto Accident Forms

    Click to Download

  • Massage Patient Forms

    Click to Download

  • Neuropathy Program Application

    Click to Download

  • Neuropathy Assessment Survey

    Click to Download

Monday
8:00am - 12:00pm
2:00pm - 6:00pm


Tuesday
8:00am - 11:00am


Wednesday
8:00am - 12:00pm
3:00pm - 6:00pm


Thursday
Closed


Friday
8:00am - 12:00pm
2:00pm - 6:00pm


Saturday & Sunday
Closed

(Formerly Lembke Chiropractic Clinic)

Pacific Northwest Chiropractic

11015 NE Fourth Plain Blvd Suite B
Vancouver, WA 98662

(360) 892-0451