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Practice Name

KW Health Connection

Primary Location
417 King St W
Kitchener, ON N2G 1C2
Phone: (519) 576-2222
Fax: (519) 570-2135

Office Hours

DayOpenOff
Monday9am8pm
Tuesday9am8pm
Wednesday9am7pm*
Thursday9am8pm
Friday9am8pm
Saturday10am4pm
SundayClosedClosed*
Main Content

KW Health Connection offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

Chiropractic New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form


Naturopathic Health History Form - Required

To make the best use of our time please complete the form and bring it with you to your appointment. Details will be taken when we speak together so brief overviews are preferred. If you feel a section does not apply to you then simply leave it blank.

Download & Print Form


Massage Therapy - Required

Let us know the current state of your health and what it is that brought you to our clinic.  Be sure to include all of your aches and pains, our therapists want to make sure you leave the best you possibly can.

Download & Print Form


Detox Questionnaire

A simple tool to see if you really need a detox

Download & Print Form



Download the Free AdobeReader®

CHIROPRACTOR NATUROPATH MASSAGE

Contact us now to get ALL your healthcare in one convenient location! Instant onsite access to multiple treatment options

Call us today at (519) 576-2222

Our Services

We strive to provide complete care for our patients. Learn more about all the services we provide.

View Services



Proud Health Providers For:

Office Hours

DayOpenOff
Monday9am8pm
Tuesday9am8pm
Wednesday9am7pm*
Thursday9am8pm
Friday9am8pm
Saturday10am4pm
SundayClosedClosed*

Request Appointment

(519) 576-2222

Contact

KW Health Connection
417 King St W
Kitchener, ON N2G 1C2
Get Directions
  • Phone: (519) 576-2222
  • Fax: (519) 570-2135
  • Email Us
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