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250-897-3424

Courtenay Family Chiropractic offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

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Download the necessary form(s), print it out and fill in the required information.

Fax us (897-1409 - remember our 250 area code) or scan & email to thrive@cfcHealth.ca - (you must remove all spaces from the email for us to receive it) your printed and completed forms, or bring it with you to your appointment. **These forms must be completed prior to seeing the Doctor**


 

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns or goals regarding health & wellness can we help you with? Let us know! Click the link below to view & print your health history forms. You can fill these out at your leisure at home before your initial consultation. Don't forget to bring them with you! If left at home you will be required to fill them out again in our office.

Adult Health History Form

Children's (under 18) Health History Forms


Member Wellness Registration Form - Optional

This form can be filled out to register for access to the practice member's only wellness section of our website. This area is dedicated to existing patients or immediate family members of existing patients. If you are not a practice member yourself we will need to know who in your family is a member before we can grant you access. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. Click Here to register online! The free online newsletter sign-up is also on the right. The newsletters are full of the latest information surrounding health & healing and cover a wide variety of topics. We look forward to making your experience with our office and website more interactive and rewarding!



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