Online Paperwork
We offer our paperwork on line so you can complete it in the convenience of your own home and save you time when you arrive for your examination.
Intake Form
This is the first step in the discovery process of a detailed health history, guiding us to any problems in the spine, how they may occurred, and how it may be impacting your health.
Adult
Children
Free AdobeReader®
Each form is a PDF document file. If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.
Call 613-837-9777 to schedule a time for your Chiropractic Spinal Examination.




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