Online Forms

Metcalf Chiropractic Health Center offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

We encourage you to fill out the following new patient forms and bring them with you to your first visit. If you have any questions about the form content, please do not hesitate to call us prior to your visit, or we can answer your questions upon your arrival at our office. We advise you to arrive at least 15 minutes prior to your first scheduled appointment to ensure you have enough time to complete the necessary paperwork.

  • *New Patient Registration Form - PDF Format
  • *Health History Form - PDF Format
  • *HIPAA Privacy Form - PDF Format
  • *Terms of Acceptance Form - PDF Format
  • *Payment Policy Form - PDF Format
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  • Consent to Treat a Minor Form - Word or PDF Format

If your visit to Metcalf Chiropractic Health Center is the result of a recent accident, please fill out the additional accident forms and bring them with you to your first visit.

  • Accident Information Form - Word or PDF Format
  • Payment Authorization Form - Word or PDF Format
  • Records Transfer Authorization Form - Word or PDF Format


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Contact

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Metcalf Chiropractic Health Center
15435 Main St NE Suite 101
Duvall, WA 98019
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  • Phone: 425-844-6428
  • Fax: 425-788-7824
  • Email Us

Office Hours

DayMorningAfternoon
Monday10-12:302:30-6:30
TuesdayClosed2:30-6:30
Wednesday10-12:302:30-6:30
ThursdayClosedClosed
Friday10-12:302:30-6:30
SaturdayClosedClosed
SundayClosedClosed

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