Patient Forms | Gauthun Chiropractic | Sequim, WA

Patient Forms

Save time at your first visit by downloading and completing these forms ahead of time.

New Patient Registration Form

Complete this before your first visit.

Download PDF

Initial Exam Patient Form

Helps us understand what brought you in and where it hurts.

Download PDF

Terms of Acceptance

Our care philosophy and treatment agreement.

Download PDF

HIPAA Policy / Notice of Patient Privacy

How we protect your personal health information.

Download PDF

Advance Beneficiary Notice (Medicare Patients Only)

Required notice for Medicare patients regarding coverage.

Download PDF