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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 info@norfolkwellness.com 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

 

08

Nov 2018

Children's Foundation Adopt-A-Family Program

by Marnie Kerr

It's nearly that time of year again! Halloween has passed, and Christmas is already in the air! At the clinic, we have participated in a number of different donation drives and programs, but by far the most popular of these is the... Read More >>


01

Nov 2018

Practitioner Profile - Bonnie Adam R.Ac.

by Marnie Kerr

It's time for another Practitioner Profile! This time around we are getting a closer look at our Registered Acupuncturist Bonnie Adam's goals, dreams, and "Why" moments. Read More >>


 

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