Online Forms

 

Our goal is to make your experience with THINK Chiropractic & Wellness Centre as easy and seamless as it can be.  To that end, we have added our forms to the web site here for you to download, print and complete in advance of your first appointment.  PLEASE NOTE: the chiropractic health history forms do NOT need to be printed, there is a "Submit" button at the end of completing the forms on your tablet, smartphone or computer.   If you have your forms ready and completed before your first appointment then that allows you the luxury of not having to arrive 10 minutes before your appointment to complete them here in the office.

PLEASE NOTE THAT ALL OF OUR PRACTITIONERS HAVE THEIR OWN INITIAL INTAKE FORMS AS SET OUT BY GUIDELINES FROM THEIR RESPECTIVE GOVERNING BODIES.

We ask that you complete the Adult Health History Chiropractic form if you are coming in for an appointment with one of our chiropractors and are over the age of 18 years.

 

 

 

 

 

We ask that the parent or legal guardian complete the Child Health History Chiropractic form if the appointment is for someone under the age of 18 years.

 

 

 

 

 

All people coming for Registered Massage Therapy are asked to fill out a Health History Massage form, with the understanding that the form must be signed by the person receiving the massage or, in the case of a child, the parent or legal guardian of anyone receiving massage therapy who is under the age of 18 years.

 

 

 

 

 

 

 

Naturopathic Doctors require a completed Health History form before the start of the first appointment.  The first is for adults over the age of 18 years.  The second is for anyone attending an appointment with Dr. Margot who is under 18 years of age.

THINK Chiropractic & Wellness

2025 William O'Connell Blvd.

Burlington, ON  L7M 4E4

 

​PHONE: 905.319.2222

FAX: 905.319.2223
EMAIL: info@thinkchiropracticandwellness.ca

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“The greatest discovery of any generation is that human beings can alter their lives by altering the attitudes of their minds.”
-Albert Schweitzer Quote