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White Lake Chiropractic Life Centre offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form



Download the Free AdobeReader®

Office Hours

DayMorningAfternoon
Monday9am - 12pm2 - 5:30pm
Tuesday9am - 12pm2pm - 6pm
Wednesday9am - 12pm2pm - 6pm
Thursday9am - 12pm2pm - 6pm
Friday9am - 12pm2 - 5:30pm
Saturday9am - 12pmClosed
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9am - 12pm 9am - 12pm 9am - 12pm 9am - 12pm 9am - 12pm 9am - 12pm Closed
2 - 5:30pm 2pm - 6pm 2pm - 6pm 2pm - 6pm 2 - 5:30pm Closed Closed