151 NE State Route 300

Belfair, WA 98528 US

(360) 275-8727

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Online Forms

Petersen Chiropractic offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

Patient Intake Forms:

Patient Information Form

Auto Injury Forms:

Auto-Patient Information Form

Work Injury Forms:

Patient Information Form

Massage Therapy Forms:

Massage Intake & Consent

Massage Cancellation Policy



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Office Hours

Our Regular Schedule

Monday:

8:30 am - 11:30 am

2:00 pm - 6:00 pm

Tuesday:

2:00 pm

6:00 pm

Wednesday:

8:30 am - 11:30 am

2:00 pm - 6:00 pm

Thursday:

2:00 pm

6:00 pm

Friday:

8:30 am - 11:30 am

2:00 pm - 6:00 pm

Saturday:

9:00 am

10:00 am

Sunday:

Closed

Closed

Location

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Testimonial

Reviews By Our Satisfied Patients

  • "Chiropractic care is essential to overall good health. I have been a patient at Petersen Chiropractic for over 10 years now and I highly recommend Dr Petersen."
    Lisa Hornyak, NMHS English Instructor Belfair, WA

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