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®

Exclusive Offer

New Patients Receive a Free Consultation

Office Hours

Our Regular Schedule

Monday:

7:15 am-9:45 am

3:30 pm-6:15 pm

Tuesday:

Closed

3:30 pm-5:45 pm

Wednesday:

7:15 am-9:45 am

Closed

Thursday:

7:15 am-9:45 am

3:30 pm-6:15 pm

Friday:

Closed

Closed

Saturday:

Closed

Closed

Sunday:

Closed

Closed

Location

Find us on the map

Testimonials

Reviews By Our Satisfied Patients

  • "I have experienced many changes in my health and well being since I started receiving care. There are changes I never realized chiropractic could affect. I no longer grind my teeth and I feel like it has cleared my airways and sinuses. My breathing has definitely become less restricted. A total surprise to me. I am feeling more able to tackle each day with energy and positivity because I'm not fighting with pain and discomfort on a daily basis."
    T.B.
  • "I was in pain constantly. I was told I would need a hip replacement in a few years and to live with the pain. After getting chiropractic adjustments I am completely pain free. I have control back in my life. Thanks."
    V.G.

Featured Articles

Read about interesting topics

NEWSLETTER SIGNUP

Sign up for more articles