Back in Balance Family Chiropractic & Wellness Centre offers our patient form(s) online so they can be completed in the convenience of your own home or office.
Notice:Our Intake Forms are similar for all practitioners . If you are coming in for more than one service, you will not need to fill out separate intake forms for each service, only a new consent or additional information form.
Chiropractic Intake Forms (you will sign the chiropractic consent form with the chiropractor during your first appointment)
informed-consent-form-and-patient-review-of-systems-updated.pdf
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massage-intake-form.pdf
Acupuncture Intake Forms
acupunture-additional-intake-form.pdf
Physiotherapy Intake Forms
physiotherapy-supplemental-intake.pdf
WSBC Job Demands Questionnaire
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Reflexology Intake Forms
Kinesiology Intake Forms
personal-training-intake-form.pdf