Red Deer Chiropractic and Laser Centre offers our patient form(s) online so they can be completed it 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.

New Patient Health History Form - Required

When complete, please fax to 403-347-5991 if possible so we can be better prepared for your first visit.  This lets us know the history and current state of your health for Chiropractic, Laser and Massage Care. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Ideal Protein Health Profile Form

Some health conditions do not permit recommending the Ideal Protein Diet, therefore it is recommended that you complete this form and fax it to our office prior to your initial consultation.    Fax#  404-347-5991.

Download & Print Form

Pregnancy Form

Download & Print Form

Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!