The North Seattle Chiropractor to see - Chiropractor North Seattle

Health History

We offer our paperwork on line so you can complete it in the convenience of your own home. Here are the essential forms we use and why we need them.



Intake Form for Chiropractic and Massage

This allows us to learn what has happened, but perhaps more importantly, it allows us to learn where you want to take your health.

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Young Person Intake Form for Chiropractic

Please complete this form for patients under the age of 18 years old.

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Free AdobeReader®

Each form is a PDF document file.  If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.



Dr. Jason Penaluna | Phone: (206) 363-4478
14709 Aurora Avenue N., Shoreline, WA
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Dr. Penaluna Asks some important questions of interest to North Seattle residents - Chiropractor North Seattle Dr. Penaluna Asks...

Why does chiropractic work?
Chiropractic works because your nervous system, consisting of your brain, spinal cord and all the nerves of your body, controls and regulates every cell, tissue, organ and system of your body. A chiropractor locates and reduces areas of nervous system compromise (usually along the spine) so your capacity to heal is restored. Chiropractic works by helping your body work as it was designed.
Where do most North Seattle residents get their first subluxation?
Being born in a hospital is a common source of subluxation. Trauma from forceps delivery has been replaced with drugs, vacuum extraction, Cesarean section and births that are "scheduled" to fit the workweek routines of Ob-Gyns. That's why we recommend a chiropractic checkup for every North Seattle newborn.