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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

Integrated Functional Care Intake Form

Download & Print Form

Faces Pain Scale

Download & Print Form

Worker’s Compensation

Download & Print Form

Acupuncture Intake Form

Download & Print Form

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

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