- We strive to provide complete care for our patients. Learn more about all the services we provide.
You are using an outdated browser. Please upgrade your browser to improve your experience.
Renaissance Chiropractic Center offers our patient form(s) online so they can be completed it in the convenience of your own home or office.
Parent or guardian must sign forms prior to minor being seen in our office. Pediatric Intake Form (for children under the age of 12)
Were you involved in an Automobile Accident? Print forms below and bring in to your first appointment. Please have your insurance information and/or the others involved in the accident with your paperwork.
MASSAGE PATIENTS - Only coming in for Massage? Need a referral from your doctor? Have your doctor fax the referral to 253-473-0305 prior to your first appointment. Please print both forms below.
Has it been awhile since you've been in? 6 months? 1 year or more? Don't forget to print your paperwork and bring in your updated insurance information! Moved? New phone number? Let us know when you come in to help us keep our records accurate and up to date!
General information: Pain in the neck? Low back? Try Passive Traction using Rolled Towels! *Talk to your doctor or massage therapist for more info.
This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!
Sign up using the form or call us at 253-473-0300.
|Monday||9:00am - 12:30pm||2:00pm - 6:00pm|
|Tuesday||9:00am - 1:00pm||3:00pm - 7:00pm|
|Wednesday||9:00am - 12:30pm||2:00pm - 6:00pm|
|Thursday||9:00am - 1:00pm||3:00pm - 7:00pm|
|Friday||9:00am - 12:30pm||2:00pm - 6:00pm|
|Saturday||9:00am - 12:00pm||Closed|
|9:00am - 12:30pm||9:00am - 1:00pm||9:00am - 12:30pm||9:00am - 1:00pm||9:00am - 12:30pm||9:00am - 12:00pm||Closed|
|2:00pm - 6:00pm||3:00pm - 7:00pm||2:00pm - 6:00pm||3:00pm - 7:00pm||2:00pm - 6:00pm||Closed||Closed|
Dr. Doug Long and his father, Dr. Brian have helped keep me from neck fusion surgery since I started treatment in 1985. I am forever grateful for their help with pain relief and their professional advice. Thank you both for your services to our community!
What can we help you find?