To save time on your first visit, you can print off and fill out the forms below:
- New Patient Intake Form
- If your child is ten years old or younger, please use this form: Paediatric and Child Intake
- If your primary complaint is neck pain, please fill out the Neck Pain Disability Index as well as the New Patient Intake Form
- If your primary complaint is back pain, please fill out the Oswestry Disability Index as well as the New Patient Intake Form
- If your primary complaint is a lower limb (hip/thigh, knee/shin, ankle, foot) complaint, please fill out the Lower Extremity Functional Index as well as the New Patient Intake form
- If your primary complaint is an upper limb (arm, shoulder, wrist, hand) complaint, please fill out the DASH Questionnaire as well as the New Patient Intake from
- If you have been in a Motor Vehicle Accident please fill out the MVA forms
- Animal Chiropractic intake forms
If you are unsure as to which forms to fill out, you can wait until you arrive at the office for your appointment, or give the office a call at 519-472-8700.
All forms are in Adobe Reader format (PDF).