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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Women's Health Issues
Children's Health Issues
Stress Management

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

How do you "catch" a cold?
Simply lower your resistance by avoiding the proper rest and exercise, eating lots of sugar and junk food, putting up with emotional stress and neglecting your nervous system by avoiding your chiropractor. You won't have to catch a cold because it will catch you!
What's the difference between a "good" drug and a "bad" drug?
As a chiropractor, I see the use of many drugs (legal or illegal) as merely symptom treating. Worse, virtually every drug produces unwanted effects. The effects of chiropractic are largely positive effects. If you're a Kanata parent, consider carefully before giving your child a cough medication, cold remedy or pain reliever so this sort of question doesn't arise in the first place.