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New Patient Forms

At BETTER LIFE Family Chiropractic & Wellness, we are excited to help you achieve your BETTER LIFE so thank you for taking the time to fill out our New Patient paperwork!

Online Intake Forms

 Adult Intake

 Prenatal Intake

 Pediatric Intake

 Infant Intake

Red Light Therapy Intake

Emsculpt NEO/EMSELLA Intake

* When filling out paperwork for another person, such as your child, when it states “Please enter your name and email” please enter the PATIENT’S NAME. There will be a place in the form for the parent or guardian name.

** All patients need to arrive 5-10 minutes before their appointment time to complete registration.


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REQUEST APPOINTMENT

BETTER LIFE Family Chiropractic & Wellness offers the most comprehensive exam process in town; we get to the root of your concerns so we can provide the best solutions possible. Enter your information below or call (509) 464-0444 to start your BETTER LIFE today.

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