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Advantage Chiropractic & Massage offers our patient forms online so they can be completed in the convenience of your own home or office.


New Patient Health History Form - Required

To better serve you, please click the link below to fill out the Patient Intake form prior to your appointment.  The intake gives the doctor detailed information about your health history to best understand your needs during your initial visit.

https://www.mychirotouch.com/patientintake/?clientid=ACM0001


If you are unable to complete the form online, please print the correct form below and bring it with you to your appointment.

  • 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.

Patient Intake Form

Pregnancy Intake Form

Child Intake Form (newborn - 12 years old)

Adult Auto Accident Intake Form

Child Auto Accident Intake Form

Worker's Comp/L&I Intake Form

Medicare Intake Form

Massage Intake Form



Download the Free AdobeReader®

Sign up using the form below or call 360-425-6620 to make an appointment

THIS ---->https://myadvantagechiro.com/new-patient-center/online-forms.html

Office Hours

Day
Monday12pm-4pm
Tuesday9am-1:30pm3-6pm
Wednesday9am-1:30pm3-6pm
Thursday9am-1:30pm3-6pm
Friday9am-1:30pm3-6pm
Saturday8am-12pm
Sunday
Day
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9am-1:30pm 9am-1:30pm 9am-1:30pm 9am-1:30pm 8am-12pm
12pm-4pm 3-6pm 3-6pm 3-6pm 3-6pm

Testimonial

Beautiful atmosphere the staff are so sweet I pay out of pocket and it's decently affordable than most places in my opinion, I truly enjoy the group seminars Dr. Anik holds. I'm excited to bring my daughter with sensory processing disorder here to see how well she does. Thank you for everything

Jenny G.
Longview, WA