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Cafe of Life Chiropractic 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 Health 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!

Adult Health History Form

Pediatric Health History Form 

Pregnancy Health History Form

Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our chiropractic office. You can print the form out and bring it in to our office during your next visit with our chiropractor, or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form

Download the Free AdobeReader®

Exclusive Offer

New patients receive a Complimentary 15 Minute Consultation.

Sign-up using the form or call us at 647-352-2233 to take advantage of this exclusive offer.

A Toronto, ON Chiropractor winner of the Patients' Choice Awards.
Verified by Opencare.com

Office Hours

Tuesday9:30-11:30AM3 - 6:30PM
Wednesday10AM-12PM3 - 5:30PM
Thursday11:30-1:30PM3 - 7PM
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
10-1pm 9:30-11:30AM 10AM-12PM 11:30-1:30PM 10-12pm Closed Closed
3 - 6:30PM 3 - 5:30PM 3 - 7PM