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Beacon Hills (403) 516-1141 | Country Hills (403) 226-4433 		Book Online Button
Beacon Hills (403) 516-1141 | Country Hills (403) 226-4433

Intake Forms

We offer our paperwork on line so you can complete it in the convenience of your own home. Here are the essential forms we use and why we need them.


This lets us know what’s happened, but perhaps more important, where do you want to take your health?

Chiropractic Intake Forms

 Patient Health Record

 Children Health Record

 Progressive Analysis


Massage Intake Forms

 Patient Health Record Muscle Therapy


Naturopathic Medicine Intake Forms

Dr. Ramona Charikar's Forms
(Chiropractic Center for Health)

 Naturopathic Adult Intake Form

 Naturopathic Child Intake Form

 Review of Symptoms

 Acupuncture Intake Form

 Bowen Therapy Intake Form

 Facial Rejuvenation Intake Form
Dr. Natalie Sweett's Forms
(Beacon Hill Chiropractic and Massage)

 Naturopathic Adult Intake Form

 Naturopathic Child Intake Form

 Acupuncture Intake Form

Free AdobeReader®

Each form is a PDF document file. If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.



Beacon Hills Chiropractic & Massage
11636 Sarcee Trail Northwest, Calgary, AB
(403) 516-1141

Chiropractic Center For Health
768-500 Country Hills Blvd. NE, Calgary, AB
(403) 226-4433