New Patient Information
Our Mission is to enhance the innate healing powers of all family members so that they may reach their optimal health potential. Our mission is to guide our community to recognize that healing comes from within and that life and health are a journey to wellness. We believe that maintaining health is far superior to treating disease.
MY Chiropractic Health & Wellness Centre is dedicated to a holistic approach of restoring and maintaining health and well-being through professional care and education. We achieve this by offering Chiropractic Care, Custom Orthotics, Shoes & Sandals, Naturopathic Doctor Care and Don Joy Knee Braces.
Health History Forms
To provide a concise assessment of your current health and to determine the optimate treatment plan we ask that you completely and accurately fill out the initial health forms for your file.
Please complete the following forms, print, sign and bring with you to your first appointment.
Chiropractic Care
- Chiropractic: Adult New Patient Form
- Chiropractic: Pediatric Form (16 years and under)
Naturopathic Care
Direct Billing & Insurance Information:
Please also review, print, sign and bring these documents with you to your first appointment.