Online Forms

Nicola Valley Chiropractic offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, click here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

Patient Intake Form

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Click here to download


COVID Symptom Questionnaire 

Click here to download


Please call us at (250) 378-5456 to inquire about the form

Download the Free Adobe Reader®

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Location

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Office Hours

Our Regular Schedule

Monday:

8:30 am-12:00 pm

1:30 pm-5:30 pm

Tuesday:

8:30 am-12:00 pm

1:30 pm-5:30 pm

Wednesday:

8:30 am-12:00 pm

1:30 pm-5:30 pm

Thursday:

8:30 am-12:00 pm

1:30 pm-5:30 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed