Cowichan Valley

Chiropractic & Wellness

#106 -164  Kenneth  Street  Duncan  BC   V9L 1N4

Ph: (250) 709-2151 Fax (250) 709-2159 Toll Free 1-866-323-0063

“Where Your Health Matters”

 

 

 

Patient Forms

 

 

 

 

 

 

 

 

 

 

 

 

 

Form1

Patient Registration (Required by all patients)

 

 

 

 

 

 

Form 2

Low Back Pain Scale (For patients who suffer back pain chronically)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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