Bridlewood Chiropractic
(613) 599-9822

700 Eagleson Road South
Kanata, Ontario

New Patient Forms

Before seeing the chiropractor, massage therapist, or acupuncturist for the first time, you will need to fill out the appropriate forms. You may choose to fill out the forms at the clinic, or you may fill them out in advance. For you convenience, the forms are provided here. Please select the appropriate forms from those listed below:

Chiropractic

• New Patient for Dr. Chris Paynter (3 pages)

Registered Massage Therapy

• New Client for Michele Eno, RN, RMT (1 page)
• New Client for Lynette Ridgeway, RMT (1 page)
• New Client for Jennifer Christopher, RMT (1 page)
• New Client for Alicia Semph, RMT (1 page)
• New Client for Ranguel Ivanov, RMT (1 page)

Acupuncture

• New Client for Marian Toth, Acupuncturist (2 pages)

Note: These forms are in Portable Document Format (PDF). You will need Adobe Reader to view and print them. Adobe Reader is free software that is usually pre-installed on most systems. If you do not already have it, please click on the Adobe graphic to the left to get it.

Bridlewood Chiropractic Clinic
Your Chiropractor in Kanata
(613) 599-9822