Please fill out ALL of the following digital forms before your first appointment.
Note: You may be required to click "Enable Editing" before you are able to make changes to the forms
Email completed forms to: firstname.lastname@example.org
This form gives us a visualization of the pain you are experiencing. Please draw anything that applies to you directly on the diagram (in the locations that pertain to your condition). If you experience pain in multiple areas of the body and the pain levels differ depending on the area, you can make note of this by writing the number near the area. PAIN DIAGRAM
If you have any questions about how to fill out these forms, call or email us.
If there are any technical limitations that may prevent you from filling in and submitting these forms digitally, please let us know. Paper copies of the forms will be provided for you to fill out in your vehicle before the appointment. You will need to arrive earlier than your scheduled appointment time to ensure that all paperwork is filled out.
WE ARE OPEN
MINISTRY OF HEALTH DEEMED US ESSENTIAL SERVICES. WE ARE HERE FOR YOU.
THERE HAS BEEN SOME CHANGES:
PLEASE READ OUR COVID-UPDATE, CALL OUR CLINIC TO SETUP APPOINTMENT THEN COMPLETE FORMS/PAPERWORK AND EMAIL THEM BACK TO US, THANK YOU!