27 King Street East

Bolton, ON L7E1C2 Canada

905-951-9911

Online Forms

Inside Out Family Chiropractic offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic 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.

ADULT (13 and older)  -  New Patient Health History Form - Required

Please fill these out as thoroughly as possible.  Doing so will help the doctor to best determine how to help you.  Please, to save time, also bring with you any other test results that you believe may be relevant to your current case.

Download & Print Form


CHILD (12 and under)  -  New Patient Health History Form - Required

Please fill these out on behalf of your child; doing your best to answer in as much detail as possible. Simply bring the completed form with you on your first visit.  We look forward to meeting you and your child.

Download & Print Form


Download the Free AdobeReader®

Exclusive Offer

New Patients Receive a Free Consultation

Office Hours

Monday:

7:00 am-11:00 am

2:00 PM-6:30 PM

Tuesday:

Closed

12:00 PM-6:30 pm

Wednesday:

7:00 am-11:00 am

Closed for Teaching

Thursday:

7:00 am-11:00 am

2:00 pm-6:30 pm

Friday:

Closed

Saturday:

8:00 am-10:00 am

Sunday:

Closed

Locations

Testimonials

  • "I first heard about Inside Out as a sponsor of the Bolton fall fair. I explained to Dr. Ryan that I was in pain for years and only went for treatment for the pain symptoms and not to prevent them, he invited me to come visit him and since then I have no more pain! I’m learning to improve my quality of life in other areas such as listening to my body and helping it function like god intended it too. Since coming to Inside Out I have learned proper exercising and the advanced seminars taught me how to eat healthier and what my body does with what I give it. If you are a new or old client I suggest you keep going, it will improve your quality of life. Thank you Dr. Ryan for everything you have done for me you are making it possible for me to be walking the beach with my spouse in my 70’s."
    Julie M. Bolton, ON

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