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New Patient Paperwork

Online Paperwork

We offer our paperwork online so you can complete it in the convenience of your own home and so that you can take the time you need so you so don’t feel rushed.

Please fill out the following information regarding your health, your life, and your overall well being.

Why are these forms important?

At Precision Spinal Care, our goals and motives are simple. We want to help you with the health concerns you are now facing. We want to give you the opportunity to improve your health and offer you wellness services that will benefit your life. Each and every day, you experience physical, chemical and emotional stress which accumulates day after day, year after year, and over time can result in a serious loss of health and decreased function. Most of the time this accumulation and repetitive damage is subtle and goes unnoticed. That is until it has built up so much that it has become a serious.

We want to get an idea of what these stressors are and how you have dealt with them over your lifetime. This will help us better be able to help you! Following the upper cervical specific approach of NUCCA, we hold ourselves to an exceptional level of care to those we work with in our office. We provide a warm, nurturing environment for you to begin your healing process and to continue your journey of lifetime wellness care so as to experience true health now and for years to come.”

Chiropractic care focuses on you as a whole person, not only on your specific problems. All of our life’s experiences make us who we are today, so the more information you can provide to us, the better we will be able to serve you.

Click on the appropriate link, either adult or child. The form will open up in your browser. Please print and complete the entire form and bring it with you to your appointment.

Intake Form – Adult

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Intake Form – Pediatric (10 years & younger)

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Contact Us


Offering NUCCA family chiropractic care to the following South Calgary communities:
Calgary | Evergreen | Sundance | Chaparral | Cranston | Bridlewood
Midnapore | Silverado | Somerset

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