Patient forms

New patient
paperwork.

Synergy Chiropractic and Health Rehabilitation Centre offers our patient form(s) online so they can be completed in the convenience of your own home or office.

Download the necessary form(s), print them out and fill in the required information. Fax us your printed and completed form(s) to (905) 477-7293 or bring them with you to your appointment.

Adult Intake Form

Click to Complete Click to Print

Pediatric Intake Form

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Re-Exam/Update Form

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