P a i n   R e l i e f,   H e a l i n g,   &  E n h a n c e d   P e r f o r m a n c e

 – O U R   F O R M S –



 


 
Chiropractic

 

 
Trigenics

 

 
Medical Acupuncture

 

 
Active Release Therapy
 


 
Strength & Conditioning
 


 
Kinesiotapinng

 


Nutrition & Lifestyle Coaching
 




Custom Orthotics



 
Natural Medicine





Registered Massage Therapy




 
Aromatherapy



Reflexology
 


 


Pilates

 


"Never get married to a single philosophy.  As soon as you know it all, shake your head because you're probably missing something.." --Stewart McGill


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  Forms by Practitioner
  • Dr. Rene Asselin
    Chiropractor

  • Dr. Adam Martynuik
    Chiropractor

  • Christine McKenzie
    Aromatherapist / Reflexologist
    coming soon!

  • Donna Furnival
    Therapeutic Pilates
    coming soon!

Dr. Rene Asselin


PATIENT FORMS - Instructions

Please note that Dr. Asselin has been transitioning into a paperless practice consisting of electronic intake forms. 

In order to view, edit, and save our forms you will require a FREE Adobe Reader (Version 7 or above).  Please follow the link below to download the latest reader;

Adobe Reader - Download Now

 

 

Open the the following PDF forms with the above PDF reader, fill in the required form, save a completed copy to your computer, and email the saved copy to Dr. Rene Asselin.  Please refrain from printing a copy as all your files are going to be stored in our electronic database.  

If you have any problems with the download or completing the form please contact Dr. Rene Asselin.

FORMS

All new patients must complete the following New Patient Intake Form:

New Patient Intake Form 

 

All patients seeking Nutrition, Lifestyle, and Supplementation consultation with Doctor Asselin will also be required to complete the following questionnaire:


Health Living Questionnaire


 

The following advanced resource tool is used by Dr. Rene Asselin and other health professionals to gather baseline and in depth information about your current health status. This natural health test takes into account your nutrition and lifestyle choices along with both your personal and family health history.  The results will be emailed to your computer.  Simply send a copy to Dr. Asselin via email

   Online Nutrition & Lifestyle Questionnaire
    

.
 

Dr. Adam Martynuik


Online forms available at; www.CollingwoodChiropractor.com

 

 

 


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