Thank you for your interest in upper cervical chiropractic. We look forward to having the opportunity to help you.

Before you arrive for your first appointment we need complete information about your medical history. To decrease the time you need to spend in our office the forms below should be completely filled out prior to your first appointment and brought with you.

If you are in need of assistance or have any questions about this process please phone our office (403-247-4257) and we will help you in any way we can.

Please download and print the forms below. Adobe Reader is required to access these forms and is available free of charge by clicking here.

1. Patient History Forms – Part 1 (5 pages)
2. Patient History Forms – Part 2 (10 pages) (fill out only those that apply to you)
3. Motor Vehicle Accident Forms – (4 pages) (fill out if you have been in a car accident in the last 2 years or if you have an active case that is over 2 years old)