Coast Life Chiropractic
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  • Health Services
    • Chiropractic
    • Deep Tissue Laser Therapy (Class IV) >
      • Deep Tissue Laser Therapy FAQ
    • Shockwave Therapy
    • Active Release Techniques®
    • Neurokinetic Therapy®
    • Rocktape Kinesiology Taping®
    • Graston Technique®
    • Activator
    • Custom Foot Orthotics
    • Rehabilitation
    • Prehabilitation
    • ICBC Claims
  • Common Conditions
    • Low Back Pain
    • Neck Pain
    • Headache
    • Sciatica
    • Tennis Elbow
    • Other Conditions
  • COVID-19
  • For Patients
    • FAQs
    • New Patient Tips
    • New Patient Forms
    • Policy & Fee Schedule
    • Book An Appointment Online
  • For MDs
    • What to Expect When Referring
    • Introduction to Chiropractic
    • Chiropractic Research
  • Products
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New Patient Forms
Click on the link below to download the New Patient Intake Form. Please have this filled out before coming to your first appointment.


Download New Patient Intake Form

ICBC Forms
If you are booking as a New Patient ICBC Initial Visit, please click the link below to download and fill out the appropriate questionnaires prior to your appointment.

Low Back Pain
If you have low back pain from your accident, click on the link below to download the OSWESTRY Low Back Pain Scale questionnaire. Please fill out prior to your first visit:
OSWESTRY Questionnaire
File Size: 9 kb
File Type: pdf
Download File

Neck Pain
If you have neck pain from your accident, click on the link below to download the
Neck Disability Index (NDI) questionnaire. Please fill out prior to your first visit:
NDI Questionnaire
File Size: 72 kb
File Type: pdf
Download File

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  • Home
  • About
  • Health Services
    • Chiropractic
    • Deep Tissue Laser Therapy (Class IV) >
      • Deep Tissue Laser Therapy FAQ
    • Shockwave Therapy
    • Active Release Techniques®
    • Neurokinetic Therapy®
    • Rocktape Kinesiology Taping®
    • Graston Technique®
    • Activator
    • Custom Foot Orthotics
    • Rehabilitation
    • Prehabilitation
    • ICBC Claims
  • Common Conditions
    • Low Back Pain
    • Neck Pain
    • Headache
    • Sciatica
    • Tennis Elbow
    • Other Conditions
  • COVID-19
  • For Patients
    • FAQs
    • New Patient Tips
    • New Patient Forms
    • Policy & Fee Schedule
    • Book An Appointment Online
  • For MDs
    • What to Expect When Referring
    • Introduction to Chiropractic
    • Chiropractic Research
  • Products
  • Contact Us