Client Forms
please fill out in advance
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29 Apr 2012
Core Insight welcomes Chris Kane
We are confident that we have made an excellent choice in Chris....
In order to serve you better, please be sure to bring a completed (printed) questionnaire with you, as well as any insurance information, to your scheduled appointment. Also, any other medical information you may have such as test results, X-rays, X-ray reports, MRI results, list of medications and supplements, etc…
Chiropractic
For your upcoming chiropractic appointment, please take ten minutes to complete the following questionnaire.
New patient form (PDF)
Pediatric Chiropractic
Core Insight is passionate about providing chiropractic care to children. With such a quick rate of development children are sensitive to traumas such as falls or accidents, chemical stresses like pollution and emotional stresses such as conflict in the home. This heightened sensitivity can create ill health, which is exhibited through learning difficulties, digestive disturbances, frequent infections and behavioural problems.
If you feel your child may need help, please take the time to fill out the pediatric health questionnaire below and contact us at 709-738-0366 or info@coreinsight.ca.
New patient form (Pediatric – Structural) (PDF)
New patient form (Pediatric – Learning and Behaviour) (PDF)
Massage Therapy
New patient form (PDF)
Acupuncture
New patient form (PDF)
If you have any questions about a questionnaire or what else may be needed, please do not hesitate to contact us at 709-738-0366 or info@coreinsight.ca. Directions to our office can also be found here.