New Patient Forms

Download by clicking on appropriate box below:

Adult and Student Forms Button

 

 

 

Infants and Children Forms Button

 

 

 

Instructions:

1. Download the form by clicking the box above. Check your download folder for the file. Print the document.
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 visit.

Thank you!

Dr. Walter Salubro
Back To Health Chiropractic Centre
20 Cranston Park Ave, #6 Maple, ON L6A 2W2 (905) 303-1009

Dr. Walter Salubro Chiropractor

Dr. Walter Salubro

Reliable, Caring, and Trusted Chiropractor
in Maple, Ontario

Since 2001, Back To Health Chiropractic Centre has helped over 4000 people relieve their pain, conquer their stress, and elevate their health. Our mission is to help sick and suffering people get well so they can live a long-lasting, healthy, and happy life. How do we help? By leading people to make a choice for better health and for healing. Your body has a remarkable, natural, and innate healing potential. We will lead and guide you to better health helping you power-up your inborn healing potential.  We have helped people get relief from back pains, neck pains, headaches, migraines, fibromyalgia, stress, and anxiety. For many people, chiropractic is the missing answer they have been looking for to lead them to better health. And for many people, chiropractic represents a practical form to their choice for health and healing. Therefore, we provide a systematic, research-based approach to corrective chiropractic care that helps people alleviate their pain, conquer their stress, and elevate them to better health, now and for the long-run. If you are in pain, are suffering of any health ailments, are stressed, and are looking for the right answers to lead you to better health, call us today at (905) 303-1009 to get started on your path to health, peace, and happiness. Welcome to Back To Health Chiropractic Centre.

 

 

 

 

 

 

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Back To Health Chiropractic Centre
20 Cranston Park Ave, #6
Maple, Ontario, Canada, L6A 2W2
Tel: (905) 303-1009
Email: frontdesk@ibthcc.com
Web: www.iBTHCC.com

Office Hours

Monday  7:00 am to 10:00am and 3:00pm to 6:00 pm
Tuesday  3:00pm to 6:00 pm
Wednesday  7:00 am to 10:00am and 3:00 pm to 6:00 pm
Thursday  7:00 am to 10:00am and 3:00pm to 6:00 pm