In Line Family Chiropractic
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  • Services
  • Patient Forms
  • Testimonials
  • Our Team
  • Career Opportunities
  • Contact Us
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YOUR CART

Forms for new patients

PLEASE BE AS COMPLETE AS POSSIBLE. IT WILL HELP MAKE YOUR FIRST
 VISIT SMOOTH  AND ALLOW THE DOCTOR TO BE THOROUGH.

Adult forms
CHILD FORMS (9 and under)
Ion Cleanse Intake Forms
Your first visit to the chiropractor will be about getting to know the chiropractor and discussing your history, current condition and goals. As with any doctor's visit, you'll start by completing new patient paperwork that includes a detailed case history, a list of our fees and our consent form. You can print off a copy of our forms and start immediately (press link above).

You will have ample opportunity to address your concerns, questions and discuss expectations with your doctor. We will perform a thorough physical examination including: postural analysis, range of motion, weight balance, orthopedic tests, spinal scans and foot scans.

​Once this is complete, we will review your entire file and put together a comprehensive report of findings (plan of action). This is your most important appointment. We spend as much time as needed to go through and explain everything in detail.  This will include what your findings mean, our recommendations to get you in the best shape possible and an estimate of costs. 

Forms for existing patients

Dynamic Exam Forms

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In Line Family Chiropractic
920 Yonge Street South, Box 1030
Walkerton, ON
N0G 2V0


Ph: 519-881-3443

​Fax: 519-881-3710
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