Issaquah, WA (425) 369-1040             Redmond, WA (425) 437-9974
info@thebalancedspine.com        thebalancedspine@yahoo.com

 

New Patient
Welcome: Vision, Purpose, Mission
Patient Intake Form
Patient History
HIPAA
Terms of Acceptance

Vehicular Accident
Subjective Analysis
Personal Injury Information
Personal Injury Check List

New Patient Under 18
Please have your legal guardian sign the completed new patient paperwork before the initial appointment. All forms must be signed to move forward with care.

Work and Sports Injury
Please complete the New Patient paperwork and our knowledgeable team will guide you through your specific case paperwork during your initial visit.

Patient File Reactivation or Request to Transfer Patient File
Kindly contact The Balanced Spine via email or call your local office for immediate assistance.

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