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Practice Name

Harwood Chiropractic Centre

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Primary Location
7-676 Monarch Ave,
Ajax, ON L1S 4S2
Phone: 905-683-8695

Office Hours

DayMorningAfternoon
Monday8:30am7:00pm
Tuesday9-12pm2-7pm
Wednesday8:00am3:00pm
Thursday9-12pm2-7pm
Friday8:00am4:30pm
Saturday9-12pmClosed
SundayClosedClosed
Main Content

Harwood Chiropractic Centre 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.

Chiropractic New Patient Health History Form - 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!

Click Here to Download & Print Intake Form  Page 1 - Required

Click Here to Download & Print Health History Intake Form  Page 1 - Required

Click Here to Download & Print Health History Intake Form  Page 2 - Required -Under construction

Click Here to Download & Print Informed Consent Form - Required

Click Here to Download & Print Informed Consent Form for Acupuncture 


 


Registered Massage Therapy(RMT) Intake Form - Required

Click Here to Download & Print Form 

Registered Massage Therapy(RMT) Medical History Form - Required

 Click Here to 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 the Free AdobeReader®

Exclusive Offer

New patients receive a Free Consultation.

Sign-up using the form or call us at 905-683-8695 to take advantage of this exclusive offer.

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Services We strive to provide complete care for our patients. Learn more about all the services we provide. Make An Appointment We will do our best to accommodate your busy schedule. Schedule an appointment today! Online Forms Our patient forms are available online so they can be completed in the convenience of your own home or office.

Testimonial

I receive Massage Therapy from Jessica Pyatt. She is a very professional therapist that ALWAYS goes "the extra mile". Kudos!!!!

- Guillermo E. Ramirez Sime

Office Hours

DayMorningAfternoon
Monday8:30am7:00pm
Tuesday9-12pm2-7pm
Wednesday8:00am3:00pm
Thursday9-12pm2-7pm
Friday8:00am4:30pm
Saturday9-12pmClosed
SundayClosedClosed

Services

Unlike conventional medicine, which focuses on attempting to treat disease once it occurs, Harwood Chiropractic Centre emphasizes improving your health in an effort to reduce the risk of pain and illness in the first place. Most people would rather be healthy and avoid illness, if they could. This is one of the main reasons for the big surge in the popularity of our wellness center.

For some, Harwood Chiropractic Centre will take them back to a place that is cozy and familiar, offering a rediscovery of health and wellness that had been previously known but long lost. For others, the journey may offer a new center, one never before experienced.

Read More

Harwood Chiropractic Centre of Ajax is dedicated to helping you achieve your wellness objectives. Learn more about all the services we provide.

Read More

Contact

7-676 Monarch Ave,
Ajax, ON L1S 4S2
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