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Online Forms

East Cascade Chiropractic offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic 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!
TO FILL OUT YOUR FORMS ONLINE, CLICK BELOW:
TO PRINT YOUR FORMS AND FILL THEM OUT, CLICK BELOW:

Location

Click the map to view the location nearest to you

Office Hours

Our regular schedule
Primary Location
Monday:
09:00 am - 01:00 pm
02:00 pm - 06:00 pm
Tuesday:
09:00 am - 01:00 pm
02:00 pm - 06:00 pm
Wednesday:
Closed
Thursday:
09:00 am - 01:00 pm
02:00 pm - 06:00 pm
Friday:
08:00 am - 01:00 pm
Saturday:
Closed
Sunday:
Closed
Testimonials
Reviews By Our Satisfied Clients
Jesse is hands down the best! He takes time to know what he needs to do to help you and has fixed my back and neck on several occasions! If you need a new chiropractor than look no further!
Virginia S.
Jessie is the best! He knows more than just backs! He’s helped me with my foot, vertigo, hip, you name it and he can help!!
Susan E. S.
Contact us
Please do not submit any Protected Health Information (PHI).