Lifestyle Health Centre offers our patient form(s) online so you can complete it in the convenience of your own home or office.

  • Download the necessary form(s), print it out and fill in the required information.
  • Bring your printed and completed form(s) with you to your appointment.


New Patient Health History Forms

Please print the form that applies to you and bring it to our office at the time of your first appointment.

Chiropractic Intake

Footcare Questionnaire (for gait scan)

Registered Massage Therapy Intake Form Heather Jensen 

Registered Massage Therapy Intake Form Kevin Heath

Naturopathic Adult Intake Form

Naturopathic Pediatric Intake Form

Acupuncture Intake Form Jane Zhou

Clinical Counselling Intake Form Chelsea Conron

Clinical Counselling Informed Consent Chelsea Conron





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Watch this video featuring the tv show The Doctors, as a chiropractor reviews and explains Spinal Decompression.    

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3D Spine Simulator

3D Spine Simulator


Launch 3D Spine Simulator

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Lifestyle Health Centre
104 8843 204th Street
Langley, BC V1M 1E6
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