Online Forms

We offer our paperwork on line so you can complete it in the convenience of your own home. Here are the essential forms we use and why we need them.
 


Case History Form

This let’s Dr. Leader know what’s happened, but perhaps more important, where do you want to take your health?

 Download & Print Form


Accident Report Form

If your health issue is the result of a car accident, we need some additional information.

 Download & Print Form


Free AdobeReader®

Each form is a PDF document file.  If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.


If you have any questions or concerns, please feel free to call us at (204) 888-1202.




Assiniboine Chiropractic
1861 Portage Avenue, Winnipeg, MB | (204) 888-1202

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Dr. Leader Asks some important questions of interest to Winnipeg residents - Chiropractor Winnipeg Dr. Leader Asks...

What's your plan to deal with drug-resistant 'super germs'?
Chiropractors have always been concerned with the indiscriminate use of antibiotics, accelerating the mutation of microbes that make "wonder" drugs increasingly ineffective. My strategy? Do everything possible to bolster my immune system through proper diet, rest, exercise, clean air, pure water and an optimally functioning nervous system with regular chiropractic care.
Can a chiropractor heal?
There's never been a case in which a doctor (chiropractor or otherwise) has formed scar tissue, mended a broken bone or cured a headache. Only you can do that. Turns out you're the doctor! All I do is help remove interferences to your body's healing ability. Ready to get started? Call our office today.