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

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the appropriate form, print it out and fill in the required information.
  • Bring your completed form to your first appointment.

Chiropractic Patients - New Patient Health History Form 

This will tell us about the history and current state of your health. What questions, concerns and goals regarding wellness can we help you with? Let us know!

Download & Print Form

Massage Therapy Clients - Health History Form 

Download & Print Form

Download the Free AdobeReader®


Axis Chiropractic
304 Toronto St. S., #107
Uxbridge, ON L9P 1Y2
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  • Phone: 905-852-9700
  • Fax: 905-852-6316

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