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PROVIDING CUTTING EDGE QUALITY CARE AS WELL AS EDUCATING AND INFORMING OUR PATIENTS TO ENABLE THEM TO REACH THEIR WELLNESS GOALS

Online Forms

CARE CHIROPRACTIC CLINIC offers our patient form(s) online so they can be completed 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.
  • Email us your printed and completed form(s) to care1@carechiropractic.ca or bring the forms with you to your appointment.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns and goals can we help you with? Let us know!

CHIROPRACTIC

Download & Print Form: Adult (13 Years of Age or Older) 

Download & Print Form: Child (3-12 Years of Age)

Download & Print Form: Infant (0-2 Years of Age)


MASSAGE THERAPY

Download & Print FormAll Ages


ACUPUNCTURE

Download & Print Form: All Ages


Download the Free AdobeReader®