Please fill out ALL of the following digital forms before your first appointment.
Email completed forms to: back_in_action@outlook.com
Please Read Consent form
This package of PATIENT INTAKE FORMS provides us with more history, context, and information about the condition you are experiencing.
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 before the appointment. You will need to arrive 15 mins earlier than your scheduled appointment time to ensure that all paperwork is filled out.
Back In Action Chiropractic and Rehabilitation
9249 Kennedy Rd.,Suite# 201 Unionville, ON L3R 6H8