If you need a more accessible version of this website, click this button on the right. Switch to Accessible Site

WARNING

You are using an outdated browser. Please upgrade your browser to improve your experience.

Close [x]
425.355.5000 H
H

425.355.5000

Online Forms

Progressive Chiropractic & Massage offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form, print it out and fill in the required information.
  • Fax us your printed and completed form or bring it with you to your appointment.

New Patient Health History Form 

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form


Auto Accidents Form 

This is the  Auto Accident Form that lets us know more details regarding your auto accident. If you have filled this form out, we do not need the New Patient Health History form. 

Download & Print Form


Workers Comp Form 

This is the Workers Comp form that lets us know more details regarding your work related injury. If you have filled this form out, we do not need the New Patient Health History form.

Download & Print Form



Download the Free AdobeReader®

Exclusive Offer

Sign-up using the form below or call 425.355.5000 to make an appointment.


$27 Exam and Necessary X-Rays special for new patients and all proceeds will be donated to our local Everett food bank.

Office Hours

DayMorningAfternoon
Monday10:00 - 11:302:30 - 6:30
TuesdayClosed2:30 - 6:30
Wednesday10:00 - 11:302:30 - 6:30
ThursdayClosed2:30 - 6:30
Friday10:00 - 11:302:30 - 5:30
SaturdayClosedClosed
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
10:00 - 11:30 Closed 10:00 - 11:30 Closed 10:00 - 11:30 Closed Closed
2:30 - 6:30 2:30 - 6:30 2:30 - 6:30 2:30 - 6:30 2:30 - 5:30 Closed Closed