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University Place Chiropractic offers our patient form(s) online so you can complete it in the convenience of your own home or 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.
For your convenience, below is a list of downloadable PDF forms that you can print up and fill out prior to your appointment:
Personal Health History
Chiropractic Pediatric Health
Consent to Treatment Minor
Automobile Accident Questionnaire
Notice of Privacy Practice
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 office. You can print it out and bring it in to our office 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!
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Mon day 8:30 6:30
Tues day 8:30 6:30
Wed nesday 8:30 6:30
Thurs day Closed Closed
Fri day 8:30 6:30
Sat urday 9:00 12:00
Sun day Closed Closed
Meet the Chiropractor
Meet Dr. Williams
Dr. Mattheu O. Williams has been a licensed chiropractor since October of 1997. Dr. Matt has been freeing people from pain since 1998 at University Place Chiropractic. As a Chiropractor with experience, our professionals are committed to promoting the health and well being of their patients. /
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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