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

Download the Free AdobeReader®

LOCATION

Find us on the map

Impact Chiropractic and Rehabilitation Centre

Address
6941 Derry Road West
Milton, ON L9T7H5, Canada

Contact Information
Phone: (905) 875-4393
Fax: (905) 875-9946
Email: [email protected]

HOURS OF OPERATION

Monday

9:30 am - 3:00 pm

Tuesday

11:00 am - 6:30 pm

Wednesday

9:30 am - 6:30 pm

Thursday

11:30 am - 6:30 pm

Friday

9:30 am - 3:00 pm

Saturday

9:30 am - 1:00 pm

Sunday

Closed