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FORMS

Welcome to our practice! If you're a new patient, please click the link below to download our new patient forms. If you are on an L&I claim or are an Auto patient, click the link to download the coordinating forms along with the new patient form to complete. We are here to support you on your journey to better health and we look forward to meeting you soon!

Form

New Patient Form

Welcome! If you are a new patient, fill out this form and bring it with you to your first appointment, along with your insurance card (if we are billing insurance.) We look forward to meeting soon!

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Auto Injury Form

Are you a new or existing patient? If you have recently been involved in an auto injury, please print and fill out this form. New patients should also print a copy of our new patient form and bring both with you to your appointment. Thank you!

Construction Management

Labor and Industry Form

Have you been injured on the job? Please print off a copy of this form and bring it with you to your appointment. If you have a claim currently open, we will need a copy of your claim number - if not, we can open a claim for you in office. 

HOURS OF OPERATION​

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Monday: 8:30 AM - 5:30 PM

Tuesday: CLOSED

Wednesday: 8:30 AM - 5:30 PM

Thursday: CLOSED

Friday: 8:30 AM - 5:30 PM

Saturday: CLOSED

Sunday: CLOSED

 

CONTACT INFORMATION

(360)757-4101 (phone)

(360) 757-4808 (fax)

Address:

827 S Burlington Blvd.

Burlington, WA 98233

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