As per our discussion over the phone, prior to your appointment please complete this intake form to allow us to better establish your treatment plan before you arrive.

Are you currently experiencing any of the following symptoms?

Rate from 0 being no symptoms to 6 being severe symptoms

If you have any questions please call us

Red Deer Main: 403-314-4458
Olds: 403-791-2766
Red Deer Campus: 403-352-7979