COVID-19 Screening Form

True Health Chiropractic COVID-19 Screening Form

To prevent the spread of COVID-19 and reduce the potential exposure to our staff, patients and visitors, we are conducting a simple screening questionnaire. Your participation is important to help us take precautionary measures to protect you and everyone in our office, and is necessary to meet guidelines issued by Public Health.


This questionnaire is to be completed by our adult patients who are 18 years of age and older. Please complete this questionnaire 24-48 hours before the scheduled appointment. For patients under 18, a parent or guardian may fill in the form on their behalf.

We are OPEN! Please - click here for our COVID-19 Clinic Update & Appointment Protocols