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Chiropractic Intake Forms

We offer our paperwork online so you can complete it in the convenience of your own home. Also, please click the Request an Appointment button to request your desired time and we will get in touch with you to solidify your appointment time. Below are the essential forms we use and why we need them.

Click Here to Request an Appointment

New Patient History Form – Youth/Adult (9 years and older)

This lets us know what’s happened, but perhaps more importantly, where do you want to take your health?

Submit Form Online


New Patient History Form – Pediatric (0-8 years)

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

Submit Form Online


Call our Calgary chiropractic centre now to schedule an appointment!


Chiropractic care for the communities of south Calgary.