SAVE SOME TIME

INITIAL CONSULTATION FORMS

Please click on the appropriate form below.  Once you have finished, please click the "SUBMIT".  This will save you some time on your first visit to our office.  If you aren't able to complete it, don't worry, we will have time set aside to complete all the necessary paperwork at our office.

PLEASE NOTE:  If you are using an iPad or mobile device, please use Google Chrome to submit your form

LION'S HEAD CHIROPRACTIC CLINIC - Dr. Ian J. Quist

2 Helen St., P.O. Box 58, Lion's Head, ON, N0H 1W0

Phone:  (519)793-3092

familywellness@rocketmail.com 

“Your local Chiropractor on the Bruce Peninsula.”