Online Forms

Family Wellness Center 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.

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!

Any questions, Please Call (509) 946-7692

Click link below to complete paperwork before appointment: 

https://www.mychirotouch.com/patientintake/?clientid=FCWC0006

Download & Print Consent to Treat a Minor

Download & Print Pediatric Intake Form (For patients under one year old)

Patient Forms for Massage Patients

Download & Print Massage Intake

Download & Print Massage Cancellation Policy



Download the Free AdobeReader®

CONTACT US TODAY

We look forward to hearing from you

Office Location

Office Hours

Counseling Services

Monday:

8:00 am-6:00 pm

Tuesday:

8:00 am-6:00 pm

Wednesday:

8:00 am-6:00 pm

Thursday:

8:00 am-6:00 pm

Friday:

8:00 am-2:00 pm

Saturday:

Closed

Sunday:

Closed

Chiropractic Services

Monday:

9:00 am-6:00 pm

Tuesday:

9:00 am-6:00 pm

Wednesday:

9:00 am-6:00 pm

Thursday:

9:00 am-6:00 pm

Friday:

9:00 am-2:00 pm

Saturday:

Closed

Sunday:

Closed