Please fill out the form you need for your first appointment and either email it to or print it and fax it to 403-945-7085. Thank you!

Chiropractic Intake Forms

Infant - Age Newborn -1 year old
Toddler - Age 1-4
Child - Age 5-12
Teen - Age 13-17
Pregnant Mom

Dr. Katie Li-Broussard's Acupuncture Intake Forms

Female Patient
Male Patient

Massage Therapy Intake Form


Nutritional Counseling Intake Forms

Nutrition Intake Form
3 day Food Intake Form