New Patient Paperwork

Designed Life Chiropractic offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Bring the necessary form(s) to your appointment.

  • New Patient Registration Form (All Ages)

    Click to Download

  • New Child Patient Registration Form (Under 10) (Also fill out other form)

    Click to Download

OFFICE HOURS

Monday
10:00am - 1:00pm
3:00pm - 6:00pm

Tuesday
3:00pm - 6:00pm

Wednesday
10:00am - 1:00pm
3:00pm - 6:00pm

Thursday
10:00am - 1:00pm
3:00pm - 6:00pm

Friday
By Appointment Only

Saturday
By Appointment Only

Sunday
Closed

Designed Life Chiropractic

2909 S Quillan St #158
Kennewick, WA 99337

(509) 579-5992