The Seattle Chiropractor to see - Chiropractor Seattle

Online Paperwork

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

New Patient Registration and Case History - For Chiropractic Care

Please complete this form before your first visit to Dr. Burick; It will help to know how we can help you best.

 Download & Print Form

New Patient Registration and Case History - For Massage Use Only

Please complete this form before your first massage visit.  It will help to know how we can help you best.

 Download & Print Form

Additional Paperwork for those involved in a Motor Vehicle Accident

These forms will be used to assess your health as a result of a Motor Vehicle Accident.

 Download & Print Form

Request for Transfer of Care (including Medical Records)

This form allows us to request your medical records and x-rays from a former care provider.

 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.

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Dr. Mark Asks some important questions of interest to Seattle residents - Chiropractor Seattle Dr. Mark Asks...

Could a chiropractor put an end to bedwetting?
If bladder control seems elusive, consider chiropractic. If spinal bones are interfering with nerves that control your child's bladder, plastic sheets, alarms and other methods simply add to the embarrassment. Seattle parents are often amazed (and relieved) that chiropractic can be so helpful. Learn more.
Why do so many drugs require a prescription?
Because they can be dangerous? I chose a chiropractic career specifically because it avoids artificial means of pain relief. Our Seattle chiropractic practice attracts health-conscious families that prefer a safe and natural solution. Ready to get started? Call our office today.