Clinic PDF Forms

Initial Clinic Intake Forms (in PDF format)

» Chiropractic Care and Active Release Techniques Form (918 KB)
» Therapeutic Massage / Massage Therapy Intake Form (377 KB)
» Acupuncture & Traditional Chinese Medicine Form (321 KB)

Claims Forms (in PDF format)

» Alberta Blue Cross Health Benefits Expense Form ( 144 KB)
» Alberta Motor Vehicle Accident Claims Form (110 KB)
» Alberta Worker's Compensation Claims Form (51 KB)

Form Instructions:

Due to the sensitive nature of the information required, you cannot send these forms via e-mail. Please print off your intake form, fill it in and bring it with you to your appointment.

Alternatively, you can also fax it to us at: 403.245.9030.

If you have any questions please call us: 403.209.BACK (2225)

Software Download:

You will need Acrobat Reader to open these forms. Adobe Acrobat Reader is free and can be downloaded here.

Get Acrobat Reader

New Patients Welcome

Currently accepting new patients at both Calgary locations.

PDF Intake Forms

» ART / Chiropractic (918 KB)
» Massage Therapy (377 KB)
» Acupuncture / TCM (321 KB)
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Altadore/Marda Loop

Open Monday thru Saturday
Phone or Book On-line for Appointment

Training Centre

Open Monday thru Friday
Phone or Book On-line for Appointment

Health Tip

When sleeping, place a pillow under your knees when lying on your back or between your knees when on your side in order to keep your spine relaxed and in a proper position.
» Health Tips Archive