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Thank You for choosing The Vital Energy Center!

  • First, call our Capital Hill office at 206-860-9090.  Our receptionist will patiently guide you through the process, gather the necessary information, and reserve an appointment for you
  • If you're seeking care for an auto or work related injury please have your your claim information ready when you call.
  • If you have health insurance, let us know.  Checking benefits is easy and we'll tell you how.    Click here for Insurance & Payment Options
  • Please click on "Chiropractic & Massage Health History Form" below. Then download the form, print them out and complete. You can now either fax them to 206-860-3699 or bring them with you on your initial visit.
  • Questions? Feel free to give us a call at 206-860-9090 or via email.


I. Chiropractic & Massage Forms

  1. Chiropractic & Massage Health History Form

  2. Auto Accident Mechanism of Injury Form

  3. Chiropractic Re-Evaluation Form


 

Note: These forms must be opened with the FREE Acrobat Reader version 9.
MAC users: these forms will not open properly with the Macintosh application "Preview".

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  • We're located at2033, 10th Avenue East on Capitol Hill.
  • The 49 bus stops 1/2 block from our office.
  • View full directions.
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