Online Admitting Paperwork

We offer our paperwork on line so you can complete it in the convenience of your own home. Here are the essential forms we use and why we need them.


Intake Forms

This let’s us know what’s happened, but perhaps more important, where do you want to take your health?
 Download & Print Form

Pediatric Intake Form
 Download & Print Form


Automobile Accident Questionnaire

If your injury was a result of an auto accident include this form.
 Download & Print Form


Free AdobeReader®

Each form is a PDF document file.  If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.

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Dr. Leah Asks some important questions of interest to Kirkland residents - Chiropractor Kirkland Dr. Leah Asks...

What is the purpose of pain?
Pain prompts many Kirkland folks to begin chiropractic care. But pain isn't the problem! Pain is just how your body alerts you that a limit has been reached (or exceeded), that something isn't working right and that some type of change is needed. As a chiropractor, my job is finding the underlying cause and recommending the changes needed to bring your body back into balance.
Are chiropractors just concerned with the spine?
Our interest in the spine is because it covers the major communications conduit between your brain and your body. As a Kirkland chiropractor my job is to locate areas (usually along the spine) that interfere with proper nerve communications to and from your brain. Chiropractic adjustments help restore nervous system integrity. In this way, chiropractic care can affect the function of your entire body.