Selah Chiropractic Sports Therapy Clinic offers our patient form(s) online so they can be completed 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 (657.216.2383 fax)
New Patient Intake Forms - 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!
Download & Print: Patient Registration
Download & Print: Arbitration and Consent to Treat (please print in color)
Download & Print: Notice of Privacy Practices
Download & Print: Cancellation Policy
