All new patients need to fill out the Health Questionnaire, the Confidential Patient Information, and the Terms of Acceptance. Please print and fill out all forms before the day of your appointment.

        Once they are complete you can fax them to (425)-452-9306, if you are not able to fax them you may bring them with you at the time of your appointment. Feel free to call the office if you have any questions!

        Confidential Patient Information

        Terms of Acceptance


        Health Question Form 


Main Menu Community Content Member Wellness 3D Spine Simulator

3D Spine Simulator

Launch 3D Spine Simulator


Matheny Chiropractic Center
1025 108th Ave. NE
Bellevue, WA 98004
Get Directions

  • Phone: 425-452-9280
  • Fax: 425-452-9306
  • Email Us
Newsletter Sign Up

Newsletter Sign Up