The Calgary Chiropractor to see - Chiropractor Calgary

Intake Forms

We offer our paperwork on line so you can complete it in the convenience of your own home. Here are the essential forms we use and why we need them.


This lets us know what’s happened, but perhaps more important, where do you want to take your health?

Chiropractic Intake Forms

 Patient Health Record/Intake Form

 Permission to Share Information

 Children Health Record

 Adolescent Health Record

 Progressive Analysis

  Personal Injury (Auto Accident) Form


Massage Intake Forms

 New Patient Form - Massage Therapy


Naturopathic Medicine Intake Forms

Dr. Natalie Sweett's Forms

 Naturopathic Adult Intake Form

 Naturopathic Child Intake Form

 Acupuncture Intake Form


Nutritional Counseling

  Nutritional Consultation Form

  Pediatric Nutritional Consultation Form

  Detox Questionnaire

  Weekly Diet Diary

  Wellness Products and Supplement Price List

MSPC Deflame Diet - Click on this link for diet recommendations to reduce systemic inflammation in your body.

WCB Forms

Download & Print all Workers' Compensation Board forms

Corporate Seminars

   Educational Workshops


Free AdobeReader®

Each form is a PDF document file. If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.



Dr. Michael Schmolke | 11636 Sarcee Trail NW, Calgary, AB | (403) 516-1141
Providing Quality Chiropractic Care to Calgary, Calgary NW, Airdrie, Cochrane
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Dr. Michael Asks some important questions of interest to Calgary residents - Chiropractor Calgary Dr. Michael Asks...

Why is a "slipped disc" unlikely?
Separating each spinal vertebra is a disc. Its fibrous outer ring holds in a jelly-like material. Because of the way a disc attaches to the spinal bones above and below it, it can't actually "slip." However, a disc can bulge, tear, herniate, thin and collapse. But it can't slip.
Are chiropractors just concerned with the spine?
Our interest in the spine is because it covers the major communications conduit between your brain and your body. As a Calgary chiropractor my job is to locate areas (usually along the spine) that interfere with proper nerve communications to and from your brain. Chiropractic adjustments help restore nervous system integrity. In this way, chiropractic care can affect the function of your entire body.