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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

pdf iconAdult โ€“ Download & Print Form

pdf iconChild โ€“ Download & Print Form

pdf iconProgress Self Assessment Form


New Massage Therapy Patient Form

pdf iconAdult or Pediatric โ€“ Download & Print Form


Free AdobeReader(R)

Get adobe readerEach 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.