Online Forms

Fergus Family Chiropractic Wellness Centre offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Case History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

New Adult Patient Intake form - Click here

New Pediatric History form Click here


Privacy Consent form


Download & Print Form



Download the Free AdobeReader®

CONTACT US TODAY

We look forward to hearing from you

Office Hours

Our Regular Schedule

Monday

7:15 am - 7:00 pm

Tuesday

7:15 am - 7:00 pm

Wednesday

7:15 am - 7:00 pm

Thursday

7:15 am - 7:00 pm

Friday

Closed

Saturday

Closed

Sunday

Closed

Monday
7:15 am - 7:00 pm
Tuesday
7:15 am - 7:00 pm
Wednesday
7:15 am - 7:00 pm
Thursday
7:15 am - 7:00 pm
Friday
Closed
Saturday
Closed
Sunday
Closed

Location

Find us on the map