Patient Information Sheet
Your Info Are Fully Protected
Just tap on the button then you can easily DOWNLOAD or directly PRINT out the form by farther actions. Fill-up all necessary fields. When you’re finished, just SCAN the papers and UPLOAD them to “Submit the Form”↓option↓.
Check out our other Services:
Solution to Back Pain, Neck Pain & Headache. Safe, effective and provides long term relief.
Dr. Williams is board certified as a Certified Chiropractic Sports Physician or CCSP.
Now click on CHOOSE FILES and Upload/Attach the Scanned papers. Submit it with your Name, Email and Phone no. THANKS!
Dr. Alex Williams
DC, MS, CCSP
(253) – 426 – 1000