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   Seattle: (206) 343-3325

   Bellevue: (425) 827-2225


 

Click the image below
for a printable intake form
(Adobe Acrobat PDF Document)

Fill it out and bring it with you to your appointment
or fax it to us at the fax number below.


Dynamic Chiropractic Clinic
Medical Dental Building, Suite 620

 509 Olive Way, Seattle, WA 98101
Tel: (206) 343-3325

Fax: (206) 838-7330 or E-Mail Us

 

Dynamic Chiropractic Clinic of Bellevue
15935 NE 8th St., Suite A101,
Bellevue, WA 98008
Tel:(425) 827-2225
Fax: (425) 644-3174
or Email Us