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Red-Rose Chiropractic is pleased to offer our patient forms online so they can be completed in the convenience of your own home or office. Follow the link for our online and paperless version or print and fill out our printable version and bring it with you to maximize your facetime with Dr.Harder.
Online Initial Intake Form: https://intake.mychirotouch.com/?clinic=RCC0001
*Make sure to submit your form when you finish
Printable Initial Intake Form: /clients/2459/documents/Initial_Intake_Form.pdf
Medical Release Form: http://rrccps.com/clients/2459/documents/Medical_Release_Authorization.pdf
We Have New Hours!
Day Morning Afternoon
Mon day 8am-12:30pm 2pm-6pm
Tues day 9am-1pm Closed
Wed nesday 7am-12:30pm 2pm-6pm
Thurs day 9am-1pm Closed
Fri day 8am-12:30pm 2pm-6pm
Sat urday 9am-12pm Closed
Sun day Closed Closed
New Thursday Hours!
The Clinic Will Be Closed
Saturday June 30th, 2018
Services We strive to provide complete care for our patients. Learn more about all the services we provide.
Make An Appointment We will do our best to accommodate your busy schedule. Schedule an appointment today!
Online Forms Our patient forms are available online so they can be completed in the convenience of your own home or office.
12841 NE 85th Street
Kirkland, WA 98033
Copyright ©2018 ChiroMatrix.
All Rights Reserved.
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