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Online Forms

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 Form – Adult


Pediatric Patient Information


Laser New Patient Form

pdf iconDownload & Print Form (Laser New Patient Form)

pdf iconDownload & Print Form (Laser Consent Form)


Faces Pain Scale

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Motor Vehicle Accident

pdf iconDownload & Print Form


Worker’s Compensation

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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.


Noji Chiropractic & Wellness Centre | (403) 381-7766

Providing Lethbridge and Southern Alberta with quality chiropractic care since 1981.

Chiropractic Website by Perfect Patients.