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.

  • 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!

Download & Print Form  (Chiropractic)

New Patient Health History Form (Shockwave Therapy) - Required

Download & Print Form (Shockwave Therapy)

New Patient Health History Form (Massage Therapy) - Required

Download & Print Form (Massage Therapy)

 

About Us

Glenmore Chiropractic was created with the purpose of bringing chiropractors, massage therapists and the latest in therapeutic technology together to better serve your needs.

 

Cancellation Policy

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.

Dr Harris’ Hours:

Monday, Wednesday, Thursday:

7:45am-12:00pm, 2:00pm-6:00pm

Tuesday:

7:45am-12:00pm

**Closed on Holidays**

(250) 763-3580