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Practice Name

Cornerstone Chiropractic

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Primary Location
2003 132nd St SE Ste E
Everett, WA 98208
Phone: 425-379-6301
Fax: 425-379-5761

Office Hours

DayMorningAfternoon
Monday9am-12:30pm3pm-6:30pm
Tuesday9am-12:30pm3pm-6:30pm
Wednesday9am-12:30pm3pm-6:30pm
ThursdayCLOSEDCLOSED
Friday9am-12:30pm3pm-6:30pm
Saturday9am-11amCLOSED
SundayCLOSEDCLOSED
Main Content

Cornerstone 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.  



New Patient Health History Forms:

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Patient Intake Form #1
Download & Print Office Policies Form #2
Download & Print Financial Policy Form #3
Download & Print Informed Consent for Care Form #4
Download & Print PI Questionnaire Form #5
Download & Print Massage Intake Form #6


  • 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.

Member Wellness Registration Form - Optional

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 chiropractic office. You can print the form out and bring it in to our office during your next visit with our chiropractor, or 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!

Download & Print Form


Federal HIPPA Privacy Information Page

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Download the Free AdobeReader®

Exclusive Offer, New Patients receive Free Consultation.

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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.

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Office Hours

DayMorningAfternoon
Monday9am-12:30pm3pm-6:30pm
Tuesday9am-12:30pm3pm-6:30pm
Wednesday9am-12:30pm3pm-6:30pm
ThursdayCLOSEDCLOSED
Friday9am-12:30pm3pm-6:30pm
Saturday9am-11amCLOSED
SundayCLOSEDCLOSED

Meet Our Everett Chiropractor

Dr. Lichfield grew up back East in New York and Connecticut. After sustaining a bike injury when he was 20 years old, he saw several orthopedic physicians who unfortunately, were not effective in treating him. Read More

Contact

  • 425-379-6301
  • 2003 132nd St SE Ste E Everett, WA 98208
  • Get Directions
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