Office Forms for Download

Please download the appropriate form, fill it out in the comfort of your own home and bring it with you to your first appointment. Feel free to call our front desk assistant if you have any questions regarding the form.

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Chiropractic New Patient Intake Form for ages 19 and older: click here

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Chiropractic Pediatric New Patient Intake Form for ages 0-18 years: click here

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Registered Massage Therapy New Patient Intake Form: click here

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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.

Sound interesting? Please contact our Etobicoke chiropractic office to make an appointment today.

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Dr. Farquhar | Dr. Garofolo | Dr. Gallo
4939 Dundas St W, Etobicoke, ON | (416) 237-0069

Family chiropractic care for the Etobicoke, West Toronto, Etobicoke communities.