New Patient Forms

We offer our paperwork on line so you can complete it in the convenience of your own home. 

Select the forms that are applicable to your appointment type (chiropractic or massage). Click on the link and print out the forms you need. Complete them the best you can – if you don’t know the answer, just leave it blank. Bring the completed forms to your appointment. If for some reason you have technical difficulties printing out the paperwork – no worries – just come 10 minutes early for your appointment and you can complete the paperwork at the office.


 

New Patient Forms - Chiropractic 

Adult Health History

Child Health History

Adult Health History for the Pregnant Patient


 

New Patient Forms - Massage

New Patient 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.

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Dr. Miceli Asks some important questions of interest to Calgary residents - Chiropractor Calgary Dr. Miceli Asks...

Can babies with colic be helped with chiropractic?
It's probably one of the times a parent feels the most helpless. But based on the research, chiropractic and colic relief appear to go hand in glove. With success rates in the mid-90% range, more and more Calgary parents are seeing a chiropractor. If you have a baby with colic learn how chiropractic may help.
How could chiropractic help a stomach problem?
Chiropractic works by locating and reducing areas of the spine compromising nerve communications between your brain and your body. If nerves to or from your stomach are irritated, your stomach won't work right. Chiropractors find the source of the interference, reduce it and allow your body to work as designed.