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Initial case history forms.

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Whole Body Wellness Centre
413 Ann Avenue
Timmins, ON P4N 4V3

Telephone: (705) 264-2100
Fax: (705) 267-3093

The Chiropractic Cancer Foundation for Children

Initial Case History Forms

WHY THESE FORMS ARE IMPORTANT

Our office focuses on maximizing health. Our goals are to

  1. Address the issue that brought you to this office and
  2. To offer the opportunity to learn and improve health potential for the future.

Daily activities/stresses/traumas can accumulate and cause damage to your nervous system. This damage builds layer upon layer to a level at which you may not yet be aware. We need to know what your layers of damage contain, so we ask you to carefully fill out these detailed and IMPORTANT FORMS.

Download and fill out these PDF forms before your first appointment with either Dr. Lemire or Nancy Penttila.

Attention:  We require a 24 hour notice if you must reschedule your appointment with us, otherwise we will unfortunately have to charge you for the activity that you missed.

Form for Dr. Luc Lemire

Form for Nancy Penttila

Insight Millenium - Computerized Nerve Scan


Computerized Gait Analysis


Revolutionary Gentle Technique

Are you a candidate for Orthotics?

Headaches and morning stiffness? The Water Pillow may be for you!