Online Forms

IMPACT Chiropractic and Rehabilitation Centre offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form  



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CONTACT US TODAY

We look forward to hearing from you

Office Hours

Monday

9:30 am - 1:30 pm

Tuesday

1:30 pm - 6:30 pm

Wednesday

9:30 am - 1:30 pm

Thursday

1:30 pm - 6:30 pm

Friday

9:30 am - 1:30 pm

Saturday

Closed

Sunday

Closed

Monday
9:30 am - 1:30 pm
Tuesday
1:30 pm - 6:30 pm
Wednesday
9:30 am - 1:30 pm
Thursday
1:30 pm - 6:30 pm
Friday
9:30 am - 1:30 pm
Saturday
Closed
Sunday
Closed

Location

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