New Patient Paperwork

Washington Family Chiropractic Center offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out, and fill in the required information.
  • Bring the necessary form(s) to your appointment.
  • New Patient Intake Form

    Click to Download

  • Terms Of Acceptance Form

    Click to Download

  • Notice Of Privacy Practices

    Click to Download

Monday
9:30am - 12:30pm
3:30pm - 6:30pm


Tuesday
Closed


Wednesday
(Mornings By Appointment Only)
3:30pm - 6:30pm


Thursday
Closed


Friday
9:30am - 12:30pm
3:30pm - 6:30pm


Saturday & Sunday
Closed

Washington Family Chiropractic Center

51940 Van Dyke Ave
Shelby Twp, MI 48316

(586) 739-8700