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Online Forms

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

Health History

This lets us know what’s happened, but perhaps more importantly, where do you want to take your health?

Adult & Student Forms (13 and older)

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Pediatric Intake Form (12 and under)

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Free AdobeReader®

Each 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.

If you have any questions or concerns, please feel free to call our Halifax chiropractic office at (902) 445-0221.

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