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Your Health History

We offer our paperwork online so you can complete it in the convenience of your own home. Call us or Click here to email us your questions!


New Patient Intake Form

This lets us know what’s happened, but perhaps more important, where do you want to take your health?

Intake Forms Download and Print

Consent Form Download and Print


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.


Cummings Chiropractic Family Wellness | (403) 243-8118

Offering wellness care to the residents of Calgary, Okotoks, and Cochrane