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Online Forms

We offer our paperwork online so you can complete it in the convenience of your own home.


Intake Form

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Pediatric History

If you have received chiropractic care elsewhere, or have medical records we will need from another practitioner, please sign this release.

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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.


Scotia Chiropractic Health Centre Inc. | (902) 864-4411