Intake Forms

We offer our paperwork online so you can complete it in the convenience of your own home. Call us or Click here to email us your questions!

Intake Forms

These forms let us know what’s happened, but perhaps more important, where do you want to take your health? Please download, print and complete the appropriate form for the care you will be seeking at our office.

Chiropractic Intake Form

LaserMedix Intake Form

Massage Therapy Intake Form

Massage Cancellation Policy Form

Smoking Cessation Intake Form

Physiotherapy Intake Forms

If you are coming to our office for physiotherapy, please complete the following forms:

Physiotherapy Intake form

Trigger Point Dry Needling Consent
(To be filled out if you’re seeing Christene or Carolyn)

Naturopath Intake Forms

If you are coming to our office for naturopathy, please complete the following forms:

Naturopath Intake Form

Pediatric-Youth Intake Form

Consent Form

Consent to Treat Minor

IV Therapy Consent Form

IV Care Handout

Free AdobeReader®

Each download is a PDF document file. If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.

Kinesis Health Associates | (902) 464-2225