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Online Forms

To streamline your first visit we have made our forms available online. You can download, print and fill out the forms at your leisure and bring the completed forms with you to your initial visit. If you do not have access to a printer, we can certainly provide you with the necessary forms upon your arrival. If you prefer the second option, please plan to arrive 10 to 15 minutes before your scheduled appointment so that you can complete the forms before we meet with you.

pdf iconAdult Form

pdf iconChild (0-13 yrs) Form

pdf iconPregnancy Form

pdf iconBreastfeeding Consult Form


Free AdobeReader®

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

Are you a good candidate for chiropractic care? Find out! Call Stratford Chiropractic & Wellness Centre today!


Stratford Chiropractic & Wellness Centre | (519) 273-9200