Boulom Chiropractic offers our patients forms online to be completed in the convenience of your own home or office, before arriving to our clinic.

This allows us understand the history and current state of your health and well-being. 

  • Please download the necessary form, print it out and fill in the information.

  • You may fax to us at 206-337-1996 or bring the completed form with you at the appointment.


General Health Form

Download Form



Car Accident Form

Download Form

Telemedicine Form

Download Form

New Patient Intake Form

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©  Boulom Chiropractic

Lynnwood, WA 98087

To Schedule An Appointment

Call 425-773-8553​