CLINIC FORMS

The clinic forms required for your initial visit are listed below. Please print out the appropriate form and bring the completed form with you to your appointment. If you are unsure which form to fill out please fill out the “General Intake Form”. If additional paperwork is required you can complete it at the time of your visit.

Chiropractic & Physiotherapy Intake Forms

Back Pain Intake Form– Use this form for any back pain or sciatica problem

Massage Therapy Intake Forms

Nutrition Counseling Intake Forms

KINETESIS SPINE & JOINT CLINIC

SERVICES

> Chiropractic

> Physiotherapy

> Massage Therapy

> Acupuncture

> Active Release Techniques

> McKenzie Technique

> Dietitian

> Podiatry (Bedford Only)

> Cox Spinal Decompression (Bedford Only)

> Nutrition Counseling (Bedford Only)

BEDFORD CLINIC

1600 Bedford Highway Bedford, NS B4A-1E8

(902)-407-7207
Fax: 902-407-7208

BEDFORD HOURS

Monday: 8:00am - 7:00pm
Tuesday: 12:00pm - 7:00pm
Wednesday: 8:00am - 7:00pm
Thursday: 12:00pm - 7:00pm
Friday: 8:00am - 6:00pm

FALL RIVER CLINIC

890 Fall River Road, Fall River, NS B2T 1G5

(902)-861-3900

Fax: 902-407-7208

FALL RIVER HOURS

*Hours Vary By Practitioner*
Monday: 8:00am - 7:00pm
Tuesday: 8:00am - 7:00pm
Wednesday: 8:00am - 7:00pm
Thursday: 8:00am - 7:00pm
Friday: 8:00am - 6:00pm
Saturday: 10:00am - 1:00pm