Forms

Internal Forms

• Consent to Chiropractic and Acupuncture
• Consent to Dry Needling & Acupuncture
• Consent to Release Information to WCB & MVA Insurance
• Motor Vehicle Accident (MVA) Information Form
• Workers’ Compensation Board (WCB) Information Form
• U16 Major Buccaneers Health Form
• Halifax McDonalds Medical Form
• St. Marget’s Bay Rebels Medical Form
• CPA Cheetahs Football Health Form

Questionnaires

• Numeric Pain Rating Scale
• Neck Disability Index
• Disabilities Of The Arm, Shoulder and Hand (DASH)
• Lower Extremity Function Scale (LEFS)
• Oswestry Low Back Pain Questionnaire
• WCB Orebro Activity Screening

External Forms/Resources

• Complete Concussion Registration Link