FORMS

Save time and eliminate the hassles of filling out health history forms when you visit us. For your convenience, simply download and print the forms below. Just complete before you visit, and remember the forms when you visit us for the first time.

• New Patient Health History Form - Chiropractic/Acupuncture     Adult
• New Patient Health History Form - Chiropractic -Infant/Toddler (<3)
• New Patient Health History Form- Custom Foot Orthotics
• Post Concussion New Patient Health History Form
• Post Concussion New Patient Questionnaire
• Baseline Testing Health History Form
• Baseline Testing Information 
• Registered Massage Therapy Health History Form​
• Registered Kinesiology Health History Form
• Authorization to Request Records
• MVA Extended health care information
• MVA Auto insurer information 
•  WSIB information
• Custom Foot Orthotics EHC information

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We have included the following standard claim forms to some of the most common extended health benefit providers in Ontario.

Chamber of Commerce
Desjardin
Great West Life
Greenshield
Industrial Alliance
Manulife EHC benefits
Medavie Blue Cross  EHC benefits
Medavie Blue Cross orthotics claim form
Sunlife
OTIP
Empire