The Kanata Chiropractor to see - Chiropractor Kanata

Health History

We offer our paperwork on line so you can complete it in the convenience of your own home. Here are the essential forms we use and why we need them.

Health History and Future

This lets us know what’s happened, but perhaps more important, where you want to take your health.

Adults:
 Download & Print Form

Children:
 Download & Print Form

X-Ray Forms

In case x-rays are necessary, please take the time to print and complete the appropriate form below.

Men:
 Download & Print Form

Women:
 Download & Print Form

Minors:
 Download & Print Form

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.

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Dr. Pierre Asks some important questions of interest to Kanata residents - Chiropractor Kanata Dr. Pierre Asks...

Where do most Kanata residents get their first subluxation?
Being born in a hospital is a common source of subluxation. Trauma from forceps delivery has been replaced with drugs, vacuum extraction, Cesarean section and births that are "scheduled" to fit the workweek routines of Ob-Gyns. That's why we recommend a chiropractic checkup for every Kanata newborn.
Are aches and pains good or bad?
While aches or pains may be unpleasant, they're merely warning signs. As a Kanata chiropractor, I see this all the time. The pain is not the problem! It just means a limitation has been reached and something needs to change. That's when we get to work correcting the underlying cause.