Cornerstone Family Chiropractic

1903 George Washington Way

Richland, WA 99354

(509) 942-1212

Attention Deficit / Hyperactivity Program

Let's get you and your loved one started right now.  You will have to call our office to schedule a consultation at (509) 942-1212, but the forms provided here will save you some time if you fill them out before your appointment. 

Each of these forms are part of your consultation and must be filled out before your first visit.  Dr. Whitemarsh will use them to get to know you, your child, and the needs of everyone involved.  They will help him organize a program specifically for you and your family. 

ADHD Form

ADHD Survey

ADHD Form

ADHD Survey

MICROSOFT WORD FORMAT:

PDF (ADOBE) FORMAT:

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