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110 Columbia Point Drive Richland, WA 99352
509-946-7692
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Family Chiropractic Wellness Center offers our patient form(s) online so they can be completed it 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


Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form



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