Patient Forms

Complete your New Patient Paperwork from your computer or Smart Device

Contact our office to receive your unique 6 digit pin number to make filling out your new patient forms simple and easy.

Dr. Charles Swayze, DC
402 W. Canfield Ave. Suite 3, Coeur D’Alene, ID, 83815
208-762-9000
Chiropractor Coeur D’Alene ID

Monday – Thursday :
9:00AM – 1:00PM & 3:00PM – 6:00PM
Walk-ins are Welcome!