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Chiropractic New Patient Paperwork


If you are a new chiropractic patient to our clinic, you are required to complete the age appropriate Chiropractic Intake Forms prior to your initial visit. Please print and complete by clicking on the appropriate link below. The Consent Form also needs to be printed and reviewed, but please DO NOT complete this form until you attend your visit, as consent needs to be signed in the presence of your Doctor. Please bring your completed forms to your initial visit. These forms may also be filled out electronically and emailed back to us at [email protected] if you do not have access to a printer.

Adult Chiropractic Intake Forms - age 7 & up
Pediatric Chiropractic Intake Forms - age 6 & under
Consent Form

If you have been involved in a Motor Vehicle Accident, please click here for the necessary MVA paperwork


If you have been involved in a Workplace Accident, please click here for the necessary WSIB paperwork

Norfolk Blog



Oct 2023

All about Rotator Cuff Tendinitis

by Marnie Kerr

What is the Rotator Cuff?


Jun 2023

Traditional Chinese Medicine Practitioner

by Marnie Kerr

Our clinic now has a Traditional Chinese Medicine Practitioner! We welcome Yonghao (Luke) Yu, R.Ac/R.TCMP, to our clinic. Luke also offers Acupuncture, Acu-pressure Massage, and Air Cupping. Read More >>


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