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Online Forms

Mission Family Chiropractic 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- Adult

This lets us know the history and current state of your health. What questions, concerns, goals, regarding health can we help you with? Let us know!

Download & Print Form

New Patient Form- Children

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!

Download & Print Form

Download a template for scheduling your day as discussed
at our time management workshop.


Download & Print Form


Download the Free AdobeReader®
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3D Spine Simulator


Launch 3D Spine Simulator

Does Your Lifestyle Need Some Tweaking?

Once or twice a year we hold an event called the 40 Day Lifestyle Challenge that helps transform other areas of your lifestyle.  We focus on high density nutrition, high intensity exercise, supplementation, stress management and time management.  Now lives are being transformed not only from the chiropractic care in our office, but from this program as well.  Check our Mission Family Chiropractic Facebook page to see past info and upcoming events.

Contact

Mission Family Chiropractic
10-3818 Gordon Drive
Kelowna, BC V1W 3G8
Get Directions
  • Phone: 250-712-0900
  • Fax: 250-717-0970
  • Email Us


Community Content

Member Wellness

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DIET AND SUPPLEMENTS

All humans have basic nutrient requirements for health. There are 3 essential nutrients we can not get adequately from our lifestyle. This is where supplementation comes into play. We carry Innate Choice Supplements to fill this gap. For an overview of my approach to nutrition and supplementation click on this

INNATE CHOICE NEWSLETTER