Please click on the link for the appropriate age and appointment type, fill out the form to the very end and hit “SUBMIT”, it will automatically sync to our system, DO NOT PRINT.

This form needs to be received no later than 24 hrs before your initial appointment.

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with, so please be thorough.

Chiropractic Forms

Chiro Intake Form

For Ages 10+

Chiro Child Intake

For Ages 0-9

Massage Forms

Massage Intake
Massage Preg Intake

Acupuncture Form

Acu Intake

Cancellation Policy 

  • We require 48 hours notice for cancellation of Initial appointments and 24 hours for follow-up appointments
  • You will be charged the full cost of the appointment if these parameters are not followed.
  • We understand some circumstances are beyond your control, so please discuss with us when cancelling.
  • No Shows will be charged the full treatment amount and must be paid before another appointment can be booked.