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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



May 2021

Carpal Tunnel Syndrome and Chiropractic

by Marnie Kerr

Carpal Tunnel Syndrome (CTS) is the occupational disease of the 21st century and can affect just about anyone, though office workers, computer users, musicians and assembly line workers - among others - are more prone to get it. M... Read More >>


Dec 2020

We are open during the Lockdown

by Marnie Kerr

As you will have heard, the Ontario Government has imposed a province wide lock down starting on December 26th, 2020. Read More >>


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