Skip to content

Online Admitting Forms

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


General Information

pdf iconDownload & Print Form


Intake Form

pdf iconDownload & Print Form


Pediatric Patient Form

pdf iconDownload & Print Form


Free AdobeReader®

Get adobe readerEach 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.


Educating, empowering and inspiring the residents of Brantford, Paris,
St George and Waterford to live the wellness lifestyle.
Chiropractic Websites by Perfect Patients.