• PEDIATRIC HEALTH HISTORY

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  • Emergency Contact

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  • Family Doctor

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  • Other Health Care Professionals

    (Medical Specialist, Naturopathic Doctor, Homeopath, Physiotherapist, OT, Massage Therapist, etc)

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  • What signals has your child’s body been communicating?

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  • Birth Experience



  • Post Natal & Infant History


  • Physical Traumas

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  • Goals & Consent

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  • Our goals are to provide a detailed assessment of your child’s current status and provide to you the resources for a highly engaged and healthy child whose body is functioning at its absolute peak potential while they grow. Essential to this healthy growth is a nervous system functioning free from interference called subluxations. You’ve taken an important step for your child’s future through a chiropractic evaluation!

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