New Client Paperwork

Power On Family Chiropractic offers our client form(s) online so they can be completed in the convenience of your own home or office.

All forms are PDF files. You will need AdobeReader® to view them.

If you do not already have AdobeReader® installed on your computer, Click Here to download.

Download the necessary form(s), print them out and fill in the required information.

Please bring your completed form(s) with you to your appointment.

New Client Paperwork - Adults and Youth

New Client Paperwork - Children 12 & Under

Chiropractor Near Me North Vancouver BC Yellow NPS

REGULAR CLINIC
ADJUSTING HOURS

MONDAY
7:15am - 8:15am
3:00pm - 4:30pm
5:50pm - 6:30pm

TUESDAY
7:15am - 9:15am
3:00pm - 4:30pm
5:50pm - 6:30pm

WEDNESDAY
9:00am -11:00am

THURSDAY
7:15am - 8:15am

905 16th St W, North Vancouver, BC V7P 1R2

New Client Special

"Dr. Benda is very gifted, and is the only person I trust with my neck. She has resolved issues that have enabled me to up my game tremendously, and this has helped give me freedom I have not had in decades. "

« Alan P. »

"Dr. Benda is the top of her league. She does an amazing job isolating and treating problem areas and where required equips you with exercises to support/enhance/maintain your adjustments and move you toward optimum health."

« Marisa »

"Dr. Benda is an absolute star – technically proficient, knowledgeable, and a wonderful person too. Thank you for the years of great Spinal and Health Care, you have kept me in great shape and I truly appreciate the changes you make in my life."

« Devlin »

"Dr. Heidi is not only a very caring person, she is extremely sensitive and skilled and I always get a sense of genuinely being cared for by her and everyone in the clinic."

« Laura »

905 16th St W, North Vancouver, BC V7P 1R2