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Practice Name

Eastside Family Chiropractic & Wellness

Primary Location
1750 112TH AVE NE STE C240
Bellevue, WA 98004
Phone: 425-688-1994
Fax: 425-688-1990

Office Hours

DayOpenClosed
Monday9:00AM7:00PM
TuesdayClosedClosed
Wednesday9:00AM7:00PM
ThursdayClosedClosed
Friday9:00AM7:00PM
Saturday9:00AM1:00PM
SundayClosedClosed
Main Content

Bellevue Eastside Family Chiropractic & Wellness offers patient forms online so you can complete it in the convenience of your own home or office.   You can submit forms in one of two ways:  Online submission or Download & Print Form.

Option 1 Online Submission:

Step One: Please Click Here to read Eastside Family Chiropractic & Wellness Disclosure form.

Step Two: Please Click Here to submit form online.


Option 2 Download & Print Form:

Step One: Please Click Here to Download & Print Form.

Step Two: Bring in your completed form to your appointment, e-mail it to info@eastsidefamilychiropractic.com, or fax it to 425-688-1990.


Member Wellness Registration Form - Optional

Fill out this form to register for access to the Member Wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues, news, and events in our office. Print the form and bring it in to the office on your next visit or Click Here to register online.  We look forward to making your experience with our office and website more interactive and rewarding one!

Download & Print Form


If you do not already have AdobeReader® installed on your computer, Click Here to download.

Download the Free AdobeReader®

Exclusive Offer

New patients FREE! Consultation.

Sign-up using the form or call us at 425-688-1994 to take advantage of this exclusive offer.

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Testimonials

Best Chiropractor ever. He spends the time to explain and teach me exercises and correct postures for my daily activities.

Kelly -
Bellevue, WA

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Services

We strive to provide complete care for our patients. Learn more about all the services we provide.

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Contact

Eastside Family Chiropractic & Wellness
1750 112TH AVE NE STE C240
Bellevue, WA 98004
Get Directions
 
  • Phone: 425-688-1994
  • Fax: 425-688-1990
  • Email Us

Office Hours

DayOpenClosed
Monday9:00AM7:00PM
TuesdayClosedClosed
Wednesday9:00AM7:00PM
ThursdayClosedClosed
Friday9:00AM7:00PM
Saturday9:00AM1:00PM
SundayClosedClosed
Community Content