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PATIENT CENTRE

Align 4 Life - Conditions and services - Patiente Centre-2.png

NEW PATIENT INTAKE FORM

Download and print form

WE OFFER OUR PATIENT FORMS ONLINE SO THEY CAN BE COMPLETED IN THE CONVENIENCE OF YOUR OWN HOME OR OFFICE.​

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  • If you do not already have AdobeReader® installed on your computer, Click Here to download.

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  • Download the necessary forms from the list below that pertain to your visit, print them out and fill in the required information.

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  • Bring them with you on your first appointment.​

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Completion of this form helps us to understand your health history and the current state of your health. What questions, concerns or goals regarding your health and wellness can we help you with? Let us know — we’re here to help you!­

FREE REPORT

TIPS TO LIVE PAIN FREE

FREE CORPORATE WELLNESS TALK

DOCUMENTED SPINAL CHANGES

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