Schedule an Appointment

Please fill out this form if you would like to schedule an appointment at Krueger Chiropractic. We will contact you within 24 hours.

You may also call (509) 888-6977 to schedule an appointment.

*indicates required fields

Name

First Name

Last Name

Phone Number

(###)

###

####

Email Address

How would you like to be contacted?

Text Message

Phone

What day would you like to be seen?

YYYY

What time of the day works best for you?

I am a(n)...

New Patient

Existing Patient

What is your reason for seeing the Doctor?

How did you hear about us?