Online Forms

We offer our paperwork on line so you can complete it in the convenience of your own home. 

New Patient Intake

This let’s us know what’s happened, but perhaps more important, where do you want to take your health?

  Download & Print Form

Consent Form

  Download & Print Form

Consent to Xrays

 Download & Print Form

Free AdobeReader®

Each form is a PDF document file.  If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.

Ready to get started? Please call Backfire Chiropractic to arrange a time so that we may meet you and discuss your particular health issue. (206) 323-2225.

Backfire Chiropractic
203 14th Avenue East, Capitol Hill Seattle, WA | (206) 323-2225

The Best Access to Natural Health Care in Central Seattle's Capitol Hill Area