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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 Forms

Download & Print Form (New Patient Form)

Download & Print Form (Consent Form)

Motor Vehicle Accident

Download & Print Form

Faces Pain Scale

Download & Print Form

Worker’s Compensation

Download & Print Form

Integrated Functional Care Intake Form

Download & Print Form


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.