Patient Forms

To make your first visit more convenient at Glenmore Chiropractic we offer our patient forms online to be completed at home or office before you arrive for your first appointment. 

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? 

  • Please download form, print and complete all required information.
  • You may fax completed patients forms (250) 763-3582 or bring them to your first appointment.

New Patient Health History

Shockwave Therapy

New Patient Health History

Chiropractic

New Patient Health History

Massage Therapy

New Patient Health History

Kinesiology