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Online Forms

We offer our paperwork on line so you can complete it in the convenience of your own home.

Naturopathic Forms


Adult Intake Form

This let’s us know about your health, but perhaps more important, where you would like to take your health.

Naturopathic Adult Intake Form 2016


Pediatric Intake Form (ages 10 and under)

This gives us helpful information relating to your child’s health.

pdf icon Download & Print Form


If you have any question, feel free to call as our knowledgeable staff can field most questions over the telephone. Contact Bloor-Avenue Chiropractic today.


Bloor-Avenue Chiropractic | 208 Bloor St W, # 603, Toronto | (416) 920-2468
Chiropractic Websites by Perfect Patients.