Please print and complete the following forms (if applicable) prior to your appointment at Redmond Ridge Chiropractic. Please call us at 425-868-0120 if you have any questions prior to your visit.
- Health History and Information Form [Download]
This questionnaire will give your provider information information about your overall health history
- Back Index [Download]
This questionnaire will give your provider information about how your back condition affects your everyday life.
- Neck Index [Download]
This questionnaire will give your provider information about how your neck condition affects your everyday life.
- The Patient-Specific Functional Scale [Download]
This useful questionnaire can be used to quantify activity limitation and measure functional outcome for patientswith any orthopaedic condition.
- HIPPA Notice of Privacy Practices [Download]
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
- Acknowledgement of Notice of Privacy Practices (HIPPA) [Download]
- United Healthcare [Download]
Only patients insured by United Healthcare need this form. Please complete the bottom “patient” section only.