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New Patient Paperwork

Bellevue Wellness offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring them with you to your appointment.

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SCHEDULE AN APPOINTMENT

Your Name (required)

Your Email (required)

Phone (required)

Appointment Date (required)

When would you like to come in? (required)
MorningAfternoonEvening

OFFICE HOURS


Monday
9:00am - 6:00pm


Tuesday
12:00pm - 6:00pm


Wednesday
9:00am - 6:00pm


Thursday
12:00pm - 6:00pm


Friday
9:00am - 6:00pm


Saturday & Sunday
Closed

Pain Management Bellevue WA Bellevue Wellness

Bellevue Wellness
10655 Northeast 4th Street Suite 102
Bellevue, WA 98004
(425) 455-2225

"Great experience at Dr. Kooners office. All the staff are friendly, massage therapists are great and Dr. Kooner is the best chiropractor I have seen. So far, my headaches have disappeared, and I no longer need allergy medication." *

- Ellen

* There is no guarantee of specific results. Results may vary.

"Dr. Kooner is a fantastic chiropractor. The staff are very friendly, the office is modern and able to facilitate many different treatment options. Came in with headaches but after after a few adjustments they were cleared up." *

- Jonathan

* There is no guarantee of specific results. Results may vary.

"I really liked Bellevue Wellness as a place to go for my chiropractic treatments, though I loved the massage just as much, if not more. Not to mention the fact that everyone at the desk always knows who I am and my boyfriend so checking in is never a problem." *

- John and Kat

* There is no guarantee of specific results. Results may vary.

10655 Northeast 4th Street Suite 102
Bellevue, WA 98004