Pediatric New Patient Questionnaire

Core Insight is passionate about providing chiropractic care to children.  Children develop very quickly and traumas (i.e. falls, accidents, etc.), chemical stresses (i.e. pollution, food additives, sugar, etc.) and emotional stresses (conflict in the home, social stresses, school, etc.) can create ill health.  This can be exhibed by learning difficulties, digestive disturbances, frequent infections and behavioural problems. 

If you are seeking help for your child, please take time to fill out our pediatric health questionnaire (downloadable version is available below) and contact our office:

p: 709-738-0366

email: info@coreinsight.ca

 

Pediatric_Health_History_Form.pdf