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...

Will chiropractic adjustments make my spine too loose?
No. Only the spinal joints that are fixated and "locked up" receive attention. The occasional spinal joint that moves too much is passed over so weakened muscles and ligaments can strengthen and heal.
How could chiropractic help a stomach problem?
Chiropractic works by locating and reducing areas of the spine compromising nerve communications between your brain and your body. If nerves to or from your stomach are irritated, your stomach won't work right. Chiropractors find the source of the interference, reduce it and allow your body to work as designed.