New Patient Forms

2024-np-child-120-english.pdfTaylor Creek Chiropractic offers our New Patient Form(s) online so you can complete them at your convenience prior to your first visit in our office.

  • If you do not already have Adobe Reader® installed on your computer, Click Here for a FREE download.

  • Download the necessary form(s), print it out and fill in the required information.

  • Bring the completed forms with your to your first visit or fax us your completed forms at 613-830-4492.


New Patient Health History Form and Informed Consent

This let's us know your health history and current health situation.  Please complete the New Patient Health History Form (Adult or Child).  Please do not sign the Informed Consent Form until you meet and discuss with the Doctor.

ADULT New Patient Health History Form (FIRST VISIT)

CHILD (6-12) New Patient Health History Form (First Visit)

PEDIATRIC (0-5 years of age) Health History (First Visit)

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Formulaire du nouveau patient en français



Motor Vehicle Accident

Should your injury be due to a motor vehicle accident, please complete the following documentation:

Motor Vehicle Accident Forms

We understand the insurance process and can help you in submitting the necessary paperwork and coordinate the insurance paperwork and treatments required for you to reach optimal recovery. If you have been involved in an accident, you are entitled to insurance-covered treatment/rehabilitation whether or not you are deemed at fault in the accident.

The following is the link to the Insurance Board of Ontario regarding motor vehicle accidents benefits.


Your First Visit

If you are trying to figure out what to bring, or what to expect on your first visit (examination/consultation) to our office, look no further.  This guide is written just for you, along with a map so you can easily find us.

What should I bring?  Current x-rays or MRI results if you have them (helpful, but not necessary)

What should I wear? Comfortable clothing that allows you to stretch/ bend freely.  Should x-rays be required, you will be asked to change into a gown and shorts and remove any jewelry.  Therefore, we recommend you leave necklaces/chains and earrings at home.

How long is the first visit?  Plan on approximately 45 minutes to one hour, depending on the complexity of your case.

Should I show up early to fill out paperwork?  We offer you the opportunity to print off the necessary paperwork and complete them in the comfort of your home.  This will save you from arriving early at the office to fill out the paperwork and will reduce your waiting time.

Will I need a follow-up visit?  The purpose of your examination is to find the exact cause and location of your problem.  Often times, it is helpful to have x-rays of your spine to confirm other examination findings.  A follow-up Report of Findings visit will be scheduled to discuss the examination and x-ray results, what we can do to help, how long it may take and how much it will cost.

How long will I need care?  How long you will need Chiropractic care depends on your goals.  Some people just want temporary relief.  Others want to retrain and strengthen their spine so they can avoid a relapse.  A growing number of people adopt a schedule of periodic wellness visits so they can be their very best.

How much will it cost? That's up to you, based on how far you want to take your care.

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Location:

We are located 250m from the Trim Rd and St Joseph Blvd traffic circle.  You will find us in the new black and white building next door to Rockland Travel.

If you are driving Eastbound on Highway 174, exit at 10th Line Rd South and turn left on St Joseph Blvd.  We are located on the NORTH side of St Joseph past Boat World.

You can also exit at Trim Rd South and at the 2nd traffic circle take the 1st exit on your right.

3735 St Joseph Blvd, Suite A, Orleans ON CANADA  (613) 830-3337

For a Driving Map to our office Click here for MAP



Location

Find us on the map

Office Hours

Our Current Schedule

Monday

1:00 pm - 6:00 pm

Tuesday

7:30 am - 12:00 pm

Wednesday

7:30 am - 6:00 pm

Thursday

1:00 pm - 6:00 pm

Friday

7:30 am - 12:00 pm

Saturday

Closed

Sunday

Closed

Monday
1:00 pm - 6:00 pm
Tuesday
7:30 am - 12:00 pm
Wednesday
7:30 am - 6:00 pm
Thursday
1:00 pm - 6:00 pm
Friday
7:30 am - 12:00 pm
Saturday
Closed
Sunday
Closed