Online Forms

True Chiropractic Bellevue – Washington offers our patient form(s) online so they can be completed in the comfort of your home or office.

  • 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
  • Fax or bring your completed form(s) to your appointment

New Patient Health History Form - Required

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

Download & Print Form

Download the Free Adobe Reader®

Take a few minutes to review the form carefully and provide complete information about your current health, past injuries, previous treatment, and any concerns you want to discuss during your visit. Accurate details help the doctor understand your history and prepare for a more focused conversation when you arrive.

Include information that may be relevant to your current condition, even if it happened some time ago. You can also note any questions you want to ask during your appointment so they are easier to remember.

If you are unsure how to answer a section of the form, leave it for discussion with the office rather than guessing. The goal is to give the clinic a clear and useful picture of your health before your visit.