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Intake Forms

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


Adult – New Patient Intake Form

This let’s us know what’s happened, but perhaps more important, where do you want to take your health?

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Child – New Patient Intake Form (12 years and younger)

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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.

If you have any questions or concerns, please feel free to call our Powell River chiropractic office at (604) 485-7907.