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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?

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New Patient History Form – Pediatric

This lets us know about your child’s health history.

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Call our Calgary chiropractic centre now to schedule an appointment!


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


Chiropractic care for the communities of south Calgary.