New Patient Paperwork

Redmond Ridge Nutrition and Chiropractic offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Bring the necessary form(s) to your appointment.
  • Health History and Information Form

    This questionnaire will give your provider information about your overall health history. - Click to Download

  • Back Index

    This questionnaire will give your provider information about how your back condition affects your everyday life. - Click to Download

  • Neck Index

    This questionnaire will give your provider information about how your neck condition affects your everyday life. - Click to Download

  • The Patient-Specific Functional Scale

    This useful questionnaire can be used to quantify activity limitations and measure functional outcomes for patients with any orthopedic condition. - Click to Download

  • HIPPA Notice of Privacy Practices

    This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully. - Click to Download

  • Acknowledgement of Notice of Privacy Practices (HIPPA)

    Click to Download

  • United Healthcare

    Only patients insured by United Healthcare need this form. Please complete the bottom “patient” section only. - Click to Download

Monday
9:00am - 12:00pm
2:30pm - 6:00pm


Tuesday
9:00am - 12:00pm
2:30pm - 6:00pm


Wednesday
9:00am - 12:00pm
2:30pm - 6:00pm


Thursday
Closed


Friday
9:00am - 12:00pm
2:30pm - 6:00pm


Saturday & Sunday
Closed

Redmond Ridge Nutrition and Chiropractic

23525 NE Novelty Hill Road A-109
Redmond, WA 98053

(425) 868-0120