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Patient Forms 
**Or sign up on Patient Ally to fill them out online!
https://www.patientally.com/ Simply ask the front desk to send an invitation to join.
 
Acupuncture New Patient Paperwork with Consent
Naturopath New Patient Paperwork
 
Insurance Verification
**REQUIRED**
Records Release 
Pediatric New Patient Paperwork
Select Your Specific Age Group:
Children Newborn to 1 year
Children Age 2-12 years old
Children Age 13-18 years old
ND Consent Form
**REQUIRED**
New Patient Chiropractic Intake
 
HIPAA Notice of Privacy
Frequently Asked Questions (FAQs)
Financial Policy
Make an Appointment
Visit Us!

Email Us: Reception@PurityHealth.net

Phone: (425)338-2357 or (425)337-7029

Fax: 888-397-1514

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3922 148th St SE, #203

Bothel, WA 98012 

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