Patient Forms

New Patient Forms

Lakewood Natural Medicine and Chiropractic offers our new patient forms online so they can be completed in the convenience of your own home or office. Completion of this form helps us to understand your health history and the current state of your health.

What questions, concerns, or goals regarding your health and wellness can we help you with? Let us know — we’re here to help you!­

  1. Download and print the form below that pertains to your visit
  2. Fill in the required information
  3. Bring the filled-out form with you on your appointment

New Patient Intake Form

If you have been in an auto accident, use the New Auto Patient Form instead.

New Patient Auto Accident Intake Form

Patients Love What We Do!

Dr. Young is AMAZING! I can darn near crawl into his office with a thrown out back then with some treatment and manipulation walk out in comfort. I really like the fact he takes his time to explain in detail what the problems are that I am facing and give me the correct recommendations for solving my tweeks and pulled muscles. Highly Recommended

Dean P.

Yelp Review

I am a true testament to the care under Dr. Young. I’ve been going to this facility for about 3 years. The treatment plans have made a huge Improvement in my life. The gut cleanse body detox and essential oils have also made a big impact on my life and my health. I’m truly grateful for not only getting good care but getting educated on the body and the mind. I really appreciate the people at this office.
Sincerely Teresa

Teresa P.

Facebook Review

Lakewood Natural Medicine and Chiropractic
8909 Gravelly Lake Dr SW Ste B, Lakewood, WA 98499
Natural Health Care, Wellness & Rehabilitation Care

Now Accepting New Patients: (253) 584-1144