Health History

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.


Adult Health History Form

This let’s us know what’s happened, but perhaps more important, where do you want to take your health?
 Download & Print Form


Health History for your Child

This let’s us know the health history of your child.
 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 (905) 294-2904.




Dr. Pam Manning | 253 Church Street, Markham, Ontario | (905) 294-2904

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Dr. Pam Asks some important questions of interest to Markham residents - Chiropractor Markham Dr. Pam Asks...

Can someone who has had back surgery receive chiropractic care?
Yes. Rest assured that we will avoid the surgically modified areas of your spine. However, what we find is that surgical interventions will often produce spinal instability above or below the involved level. This is will be the focus of your chiropractic care.
Where do most Markham residents get their first vertebral subluxation?
Being born in a hospital is a common source of vertebral subluxation. Trauma from forceps delivery has been replaced with drugs, vacuum extraction, Cesarean section and births that are "scheduled" to fit the workweek routines of Ob-Gyns. That's why we recommend a chiropractic checkup for every Markham newborn.