The Chapparal Calgary Chiropractor to see - Chiropractor Chapparal Calgary

Chiropractic Intake Forms

We offer our paperwork on line so you can complete it in the convenience of your own home. Here are the essential forms we use and why we need them.

New Patient History Form - Youth/Adult (13 years and older)

This let’s us know what’s happened, but perhaps more important, where do you want to take your health?
Download & Print Form

New Patient History Form - 5-12 years

This lets us know about your child's health history.
Download & Print Form

New Patient History Form - 0-4 years

This lets us know about your infant/todler's health history.
Download & Print Form

Call our Chapparal Calgary chiropractic centre now to schedule an appointment!

Free AdobeReader®

Each form is a PDF document file. If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.

Dr. Mark Peverett, #206 - 10 Chaparral Drive SE, Calgary, Alberta | (403) 201-9991

Chiropractic care for the Chapparal Calgary, Calgary, Lake Chapparal communities.

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Dr. Mark Asks...

What's your plan to deal with drug-resistant 'super germs'?

Chiropractors have always been concerned with the indiscriminate use of antibiotics, accelerating the mutation of microbes that make "wonder" drugs increasingly ineffective. My strategy? Do everything possible to bolster my immune system through proper diet, rest, exercise, clean air, pure water and an optimally functioning nervous system with regular chiropractic care.

Why do so many drugs require a prescription?

Because they can be dangerous? I chose a chiropractic career specifically because it avoids artificial means of pain relief. Our Chapparal Calgary chiropractic practice attracts health-conscious families that prefer a safe and natural solution. Ready to get started? Call our office today.