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Request an Appointment

Fax us your printed and completed forms - 416-462-2942 - or bring it with you to your appointment.

New Patient Health History Form (Acupuncture and Chiropractor services) - Required

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!

Download & Print Form

New Patient Health History Form (Massage services) - Required for massage

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!

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 chiropractic office. You can print the form out and bring it in to our office during your next visit with our chiropractor, 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!

Download & Print Form

Your Feedback - Optional

We value our patients' experience at Body + Spine Chiropractic + Massage Wellness Clinic. If you are currently a chiropractic patient, please feel free to complete the following Client Experience Questionnaire. The Questionnaire is in Adobe Acrobat format, and requires the freeAcrobat Reader to view.

Download & Print Questionnaire

Drs. Farah Hirani Alkarim Ali
Your Toronto Chiropractor

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