New Patient Forms

At Active Life Chiropractic, we always welcome new patients to come in, our goal is to make a positive experience for everyone. Our team makes sure everything runs smoothly, so everyone gets the care that is needed for them. Here at Active Life Chiropractic we have an on site digital x-ray machine, if x-rays are needed they can be taken here. Your first initial appointment will take up to 25 - 30 minutes, the doctor will go over the intake forms, they may take x-rays and give an adjustment. If you want a drug-free option for pain management, are looking to improve your overall health and fitness or want to lose weight, our chiropractic health plan is personalized to meet your needs and goals.  If you have any questions or concerns about booking appointments please call 604-467-3311 or click contact us on the home page.

Please Click on the following links to access the forms below: 

Please note that if you are using Safari you may have some problems filling out the forms, Google Chrome or Internet Explorer is the best to use.

Child Intake Form (New born to Age 5)            https://www.atlaschirosys.com/apps/form.php?form_id=281&id=645

Adult Intake Form (Age 6 and up)       https://www.atlaschirosys.com/apps/form.php?form_id=280&id=645?



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