New Patient Forms

Please fill out the appropriate form(s) at home and bring them completed to your initial visit. Your chiropractor and/or massage therapist will discuss the content of each before your first treatment. If you have any questions please give us a call (416) 724-7888.

Please download and fill out the forms on your computer, and send the completed forms via email to info@courtyardchiro.com.

New Chiropractic Patient Forms

Adult – Download & Print Form

Child – Download & Print Form

Progress Self Assessment Form

New Massage Therapy Patient Form

Adult or Pediatric – Download & Print Form

Free AdobeReader(R)

Each form is a PDF document file. If you do not already have AdobeReader(R) installed on your computer, click the Adobe(R) image to download for free.