:: Patient Forms

 New Chiropractic Patient Intake form,
(Please be sure to print and fill out all 4 pages)

 New Massage Therapy Patient Intake form,


 Patient Progress form,

 

(Please be sure to sign and date all forms)

  :: Other Forms

1- The Oswestry Pain Questionnaire.


2- The Neck Disability Index.

 

All of the patient forms require the free Acrobat Reader from Adobe Systems. If your computer doesn't already have Acrobat Reader installed, you may download it here.    


 

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101-4430 Chatterton Way, Victoria, BC  V8X 5J2    Ph. 250.744.2882   Fx. 250.744.2882
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