Skip to content

Chaparral Chiropractic Wellness Centre 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

Naturopathic Adult Intake Form

This let’s us know about your health history.

pdf iconDownload & Print Form


Naturopathic Child Intake Form

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

pdf iconDownload & Print Form


Naturopathic Nutrition Intake

This informs our Naturopath of your current nutritional history.

pdf iconDownload & Print Form


Naturopathic Cosmetic Acupuncture Intake

This informs our Naturopath of your current current cosmetic concerns and will assist with determining the right treatment plan.

pdf iconDownload & Print Form


Chaparral Chiropractic Wellness Centre | (403) 201-9991