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Forms and Handouts

Online Forms

New Patient Intake Form

HIT-6 Headache form

1. Go to the website:
2. Enter in the registration code: Nelems-n9f63l

Referral Form

Pain Questionnaire Form

BOTOX Home Exercise Program Form

Pain Toolbox Form

Before Sending a Headache Referral

Headache Management Guideline

Injection Handouts

Caudal Epidural Injections Handout

SI-Joint Injections Handout

RF Facet Rhizotomies Handout

Facet Joint Medial Branch Blocks Handout

Botox Handout

Prolotherapy Handout

Lateral Epicondylosis Article

Epidural Steroid Injection

Prolotherapy Consent Form

PRP Injection Therapy Handout

Nutritional Counselling Forms

Food Journal

Lifestyle Assessment

NSP Client Assessment

Psychology Handouts

Support for Anxiety

Support for Trauma

Support for Sleep

Support for Mood

Support for Loneliness

Support for Pain

Support for Substance Use

Counselling Services

Exercise Pamphlets

Simple Core Strengthening Exercises Handout

Neck Range of Motion Exercises Handout

Mid Back Shoulder Range of Motion Exercises Handout

Epidural Cortisone Injection Handout

Shoulder Range of Motion Exercises Handout

Low Back Stretches