schedule your consultation Call today: (604) 371-4320

Wellness awaits you

Your journey to wellness begins here so call today

8047 199 Street Unit 106
Langley, BC V2Y 0E2
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Online Forms

Rai Chiropractic 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.

New Patient Forms – 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!

Please thoroughly read the attached Consent Form before appointment time. Do not sign until your appointment with the doctor.

Adult 17 Years and Older – Download & Print Form

Child 3-16 Years Old New Patient Form Download & Print Form

Newborn 0-2 Years Old New Patient Form Download & Print Form

Spectrum Patients Form – Download & Print Form

Download the Free AdobeReader®

Office Hours

Monday 8:30am to 6:30pm
Tuesday 8:30am to 6:00pm
Wednesday 8:30am to 6:00pm
Thursday 8:30am to 6:30pm
Friday 9:00am-12:00pm / 2:00pm-4:00pm
Saturday 9:00am to 12:00pm
Sunday Closed

Our location

Contact

8047 199 Street Unit 106
Langley, BC V2Y 0E2
Get Directions
Phone: (604) 371-4320
Fax: 604-371-4323
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