New Patient Forms
Download by clicking on appropriate link below:
1. Download the form by clicking a link above. Save and print.
2. Complete the form in detail with all necessary information.
3. Call Back To Health Chiropractic Centre at (905) 303-1009
to book your consultation / exam.
4. Bring the completed form with you on your first vist.
Dr. Walter Salubro
Back To Health Chiropractic Centre
20 Cranston Park Ave, #6