Patient Forms

Before your initial visit we require you to fill out a few forms. For your convenience you can download the forms below and complete the form before your first visit.​

Chiropractic Forms:

New Patient Form

Health History Form

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Massage Therapy:

Massage/Cupping/Acupuncture Agreement Form

Massage/Acupuncture Health History Form

 

Claim Forms:

Motor Vehicle Accident (MVA)

Workplace Safety and Insurance Board (WSIB)

 

Dr. Sarvesh Kumar:

Lifestyle Assessment Form (Online)

Lifestyle Assessment Form (Printable PDF)

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