Admitting Paperwork

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.


Patient Intake Forms

This let’s us know what’s happened, but perhaps more important, where do you want to take your health?
 Download & Print Form


Automobile Accident Intake Forms

If your health issue is the result of a car accident, we need some additional information.
 Download & Print Form


Worker’s Compensation Intake Forms

If your health issue is the effect of an injury at work, this information will help us help you.
 Download & Print Form


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. Dean Simmons | Dr. Jeffrey Kahrs | Dr. Kevin Lyter | Dr. Kevin Velickoff
1720 S 72nd St # 102, Tacoma, WA | (253) 472-4424

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Dr. Simmons Asks some important questions of interest to Tacoma residents - Chiropractor Tacoma Dr. Simmons Asks...

Can someone who has had back surgery receive chiropractic care?
Yes. Rest assured that we will avoid the surgically modified areas of your spine. However, what we find is that surgical interventions will often produce spinal instability above or below the involved level. This is will be the focus of your chiropractic care.
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.