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.
- 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 Form (Chiropractic) - Required
This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!
New Patient Health History Form (Shockwave Therapy) - Required
New Patient Health History Form (Massage Therapy) - Required
Glenmore Chiropractic was created with the purpose of bringing chiropractors, massage therapists and the latest in therapeutic technology together to better serve your needs.
In courtesy of your therapist & fellow patients, we ask that you provide us with 24 hours notice of cancellation, or a cancellation fee will be charged.