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Online Forms

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

Health History Form

For adult patients
Download & Print Form

Child Intake Form

For children 14 yrs and under.
Download & Print Form

Acupuncture Intake Form

Download and Print Form

Post Concussion Intake Form

Download & Print Form

Maternity Intake Form

Download & Print Form

Free AdobeReader®

Get adobe readerEach 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.

Don’t wait! Contact West Valley Chiropractic today to get started with care.

Online Forms | (403) 851-8868