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If you are a new chiropractic patient to our clinic, you are required to complete a Health History form, a Case History form, and a Consent form prior to your initial visit. Please print and complete one of each of these forms by clicking on the appropriate link below. Please bring your completed forms to your initial visit.
Health History Form - PDF
Health History Form - Word
Case History Form - PDF
Case History Form - Word
Consent Form - PDF
Consent Form - Word
Note: Children (< 6 yrs old) fill out the following form instead of "Case History" form:
Pediatric Health Questionnaire - PDF
Pediatric Health Questionnaire - Word
Motor Vehicle Accident Forms:
If you have been involved in a recent Motor Vehicle Accident and plan on filing a claim for your treatment at our clinic with your automobile insurance provider, please print and complete the following additional MVA Case History form:
MVA Case History form - PDF
MVA Case History form - Word
If you have suffered a work-related injury and plan on filing a claim for your treatment at our clinic with WSIB, please print and complete the following additional WSIB Case History form:
WSIB Case History form - PDF
WSIB Case History form - Word
If you would like a copy of our Privacy Policies & Privacy Consent form, please print and complete the following additional form:
Privacy Policies and Consent to Privacy form - PDF
Privacy Policies and Consent to Privacy form - Word
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If you are a new Massage Therapy patient to our clinic, you are required to complete a Massage Therapy Health History and Consent form, prior to your initial visit. Please print and complete one of these forms by clicking on the link below. Please bring your completed form to your initial visit.
Massage Therapy Health History and Consent form - PDF
Massage Therapy Health History and Consent form - Word
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If you are a new Acupuncture patient to our clinic, you are required to complete a Health History form and a Consent form, prior to your initial visit. Please print and complete one of each of these forms by clicking on the link below. Please bring your completed forms to your initial visit.
Acupuncture Health History Form - PDF
Acupuncture Health History Form - Word
Acupuncture Case History Form - PDF
Acupuncture Case History Form - Word
Acupuncture Consent Form - PDF
Acupuncture Consent Form - Word
If you are a new Naturopathic patient to our clinic, you are required to complete a Health History form and a Consent form, prior to your initial visit. Please print and complete one of each of these forms by clicking on the link below. Please bring your completed forms to your initial visit.
Naturopathic Health History Form - PDF
Naturopathic Child Health History Form - PDF
Naturopathic Consent Form - PDF
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