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.
 Download & Print Form


Young Person Intake Form for Chiropractic

Please complete this form for patients under the age of 18 years old.
 Download & Print Form


Free AdobeReaderŽ

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

Dr. Penaluna Asks some important questions of interest to Seattle residents - Chiropractor Seattle Dr. Penaluna Asks...

Will chiropractic adjustments make my spine too loose?
No. Only the spinal joints that are fixated and "locked up" receive attention. The occasional spinal joint that moves too much is passed over so weakened muscles and ligaments can strengthen and heal.
Can subluxations clear up on their own?
Sometimes. Today's hectic lifestyles can be a constant source of subluxations. Fortunately, our bodies have the ability to self-correct many of these minor problems as we bend and stretch, or when we sleep at night. When subluxations don't resolve, you need to see our Seattle office for chiropractic care!

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