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Practice Name

Seattle Chiropractic Life Center

Primary Location
323 Queen Anne Ave. N., Suite 101
Seattle, WA 98109
Phone: 206-352-8191
Fax: 206-456-4220

Office Hours

Day
Monday9:00am6:00pm
Tuesday9:00am6:00pm
Wednesday9:00am1:00pm
Thursday9:00am6:00pm
Friday9:00am6:00pm
SaturdayClosed
SundayClosed
Main Content

Seattle Chiropractic Life 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!

Download & Print Form - New Chiropractic Patients only 

Download & Print Form - New Massage Patients only



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


Download the Free AdobeReader®

Exclusive Offer

New patients receive free consultation

Sign-up using the form or call us at 206-352-8191

Name: *
Email: *
Phone: *

Online Forms

Seattle Chiropractic Life Center offers our patient form(s) online so they can be completed it in the convenience of your own home or office.
Download Online Forms Here

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We will do our best to accommodate your busy schedule. Request an appointment today!

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Our Services

We strive to provide complete care for our patients. Learn more about all the services we provide.

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Contact

Seattle Chiropractic Life Center
323 Queen Anne Ave. N., Suite 101
Seattle, WA 98109
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Office Hours

Day
Monday9:00am6:00pm
Tuesday9:00am6:00pm
Wednesday9:00am1:00pm
Thursday9:00am6:00pm
Friday9:00am6:00pm
SaturdayClosed
SundayClosed
Newsletter

Newsletter Sign Up










Community Content
Member Wellness