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Practice Name

Applied Health Associates

Social Media
Primary Location
1303 S. Grand Blvd.
Spokane, WA 99202
Phone: 509-838-2225
Fax: 509-755-2225

Office Hours

Day
Monday8:00am6:00pm
Tuesday8:00am6:00pm
Wednesday8:00am6:00pm
Thursday8:00am6:00pm
Friday8:00am6:00pm
Saturday
Sunday
Main Content

Applied Health Associates offers our patient form(s) online so you can complete 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(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

ADULT New Chiropractic Patient Intake Form (age 11+)- Please complete if you are paying cash or using health insurance

Download & Print Form


WORKERS COMP. New Patient Intake Form - Please complete if we are billing L&I or your company's self insurance for an on the job injury.

Download & Print Form


MOTOR VEHICLE New Patient Intake Form - Please complete if you were injured in an auto accident.

Download & Print Form


CHILD New Chiropractic Patient Intake Form (age 10 and under)-

Download & Print Form


CONSENT TO TREAT A MINOR Form (ages 11 -18) -**Required for Children's Intake forms**

Download & Print Form


MASSAGE Intake Form - Please complete if you are only coming in for massage (not chiropractic).

Download & Print Form


PRACTICE MEMBER GUIDELINES Form -**Required for ALL NEW PATIENTS!**

Download & Print Form


Download the Free AdobeReader®

Head-to-Toe Care at AHA

 Chiropractic Massage Therapy Functional Rehab

We help our patients find freedom from pain and foster their wellness so they can live a fuller life!

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Office Hours

Day
Monday8:00am6:00pm
Tuesday8:00am6:00pm
Wednesday8:00am6:00pm
Thursday8:00am6:00pm
Friday8:00am6:00pm
Saturday
Sunday

What People Say About AHA

509-838-2225

Contact

Applied Health Associates
1303 S. Grand Blvd.
Spokane, WA 99202
Get Directions
  • Phone: 509-838-2225
  • Fax: 509-755-2225
  • Email Us
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