Call 911 Immediately!


First of all

Is This an Actual Emergency?



That's Great to Hear!



Are You Experiencing Any Pain?



We're Sorry to Hear that.


Which Image Best Describes Your Level of Pain?



We're Glad to Hear That

You Are Experiencing No Pain!



If You Could Just Fill Out the Information Below, a Member of Our Staff Will be in Contact with You Shortly


Sorry You're in Pain. But We're Glad to Hear That

You Are Not In Extreme Pain!



We Recommend Completing Our Online "Instant Medical History" Questionnaire So We Can Get a Better Undertanding Of Exactly What's Going On.


Please print out, complete and bring the patient forms found here with you to your next appointment. Upon arrival, please give all forms to the receptionist!


Would You Be Able To Complete This Questionnaire

We're So Sorry to Hear that

You Are in So Much Pain.


We Recommend That You

Contact Us Immediately at (360) 378-1338 So We Can Get You Scheduled As Soon As Possible!

If You Don't Have Access To a Phone, Please Fill Out the Information Below and a Member of Our Staff Will be in Contact with You Shortly


That's Not a Problem


Final Step

Please Fill Out the Information Below and a Member of Our Staff Will be in Contact with You Shortly

We Hope You Feel Better Soon!