Online Forms

Yelm Chiropractic and Massage offers our patient form(s) online so they can be completed 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 lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Click Here to Fill Out Online


Auto Injury Form

Download & Print Form


HIPPA Form

Download & Print Form



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Exclusive Offer

New Patients Receive a Free Consultation

Locations

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Testimonials

Reviews By Our Satisfied Patients

  • "Thank you Dr. Wan for being you and teaching my about my nervous system. My beautiful spine is the temple that houses a miracle, my nervous system. I am forever grateful. Happy trails..."
    -Karen Yelm, WA

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