NEW PATIENTS

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Dundas Chiropractic Centre offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form – Required

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

NEW PATIENT FORM.

NEW PATIENTS SHOULD FILL OUT THIS FORM. CLICK TO DOWNLOAD


Others Form – Optional

    • OSWESTRY LOW BACK PAIN DISABILITY QUESTIONNAIRE.
    • THE OSWESTRY DISABILITY INDEX IS AN EXTREMELY IMPORTANT TOOL THAT RESEARCHERS AND DISABILITY EVALUATORS USE TO MEASURE A PATIENT’S PERMANENT FUNCTIONAL DISABILITY.

Download & Print Form

    • OSWESTRY INDEX QUESTIONNAIRE.
    • THIS QUESTIONNAIRE IS DESIGNED TO HELP US BETTER UNDERSTAND HOW YOUR BACK PAIN AFFECTS YOUR ABILITY TO MANAGE EVERYDAY LIFE ACTIVITIES.

Download & Print Form

    • NECK DISABILITY INDEX.
    • IF YOUR PROBLEM IS IN YOUR NECK, YOU WILL NEED TO FILL OUT THE NECK DISABILITY INDEX.

Download & Print Form

    • QUADRUPLE VISUAL ANALOGUE SCALE.
    • THIS FORM IS DESIGNED TO HELP US UNDERSTAND THE LEVEL OF PAIN THAT YOU ARE IN CURRENTLY.

Download & Print Form


Download the Free AdobeReader®

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Hours of Operation

Monday: 7:30 am - 7:00 pm
Tuesday: 7:30 am - 7:00 pm
Wednesday: 7:30 am - 7:00 pm
Thursday: 7:30 am - 7:00 pm
Friday: 7:30 am - 7:00 pm
Saturday: By Appointment
Sunday: By Appointment
360 Dundas St E, Unit B4 Oakville, ON L6H 6Z9
(905) 257-5628

Office Hours

Monday – Friday: 7:30am-7:00pm Saturday-Sunday: By Appointment

Innovative Ideas

Innovative ideas make us difference from others

Advanced Technology

We are using advanced technology to serve our clients.

Clear Communication

We patiently listen to any feedbacks and comments.