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

Massage Therapy:

Massage/Cupping/Acupuncture Agreement Form

Massage/Acupuncture Health History Form

Claim Forms:

Motor Vehicle Accident (MVA)

Workplace Safety and Insurance Board (WSIB)

Having trouble viewing the form? You can download Adobe Reader here:

Book an appointment

Keeping Thunder Bay healthy for over 55 years!

Patient Forms

Chiropractic Forms:

New Patient Form

Health History Form

Massage Therapy:

Massage/Cupping/Acupuncture Agreement Form

Massage/Acupuncture Health History Form

Claim Forms:

Motor Vehicle Accident (MVA)

Workplace Safety and Insurance Board (WSIB)

Book an appointment

Patient Forms

Chiropractic Forms:

New Patient Form

Health History Form

​

Massage Therapy:

Massage/Cupping/Acupuncture Agreement Form

Massage/Acupuncture Health History Form

Claim Forms:

Motor Vehicle Accident (MVA)

Workplace Safety and Insurance Board (WSIB)