New Chiropractic and Massage Therapy patient information for Bow River Chiropractic, Cochrane.

Welcome to Bow River Chiropractic!

At Bow River Chiropractic we strive to help you achieve your health and wellness goals so that you can live your life the way you want to, without limits.  We believe that if you feel better, you live better.

Prior to your first visit to Bow River Chiropractic Clinic, we require you to fill out a patient intake form that provides the practitioner with your history and current state of health.

The forms can be filled out at the office (please arrive 10 minutes early for your appointment to complete the form) or may be downloaded (see PDF forms available for download to the right) and filled out in the comfort of your own home or office prior to your visit.

Please visit our Practitioners page for more information about our Chiropractor, Dr. Janzen, and the clinic’s Massage Therapists.

To learn more about our services, please visit our Services page.

If you have any questions, please do not hesitate to contact us directly.

New Patient Intake Forms

Please download, print and fill out the form.
You may either scan and e-mail your printed form back to us or bring the hard copy with you for your first appointment at the clinic.


Intake Form – Dr. Janzen, Dr. Foat
(Chiropractic, Medical Acupuncture, Dry Needling, Soft Tissue Laser Therapy)

Massage Therapy & CranioSacral

Intake Form – Laurie
(Massage Therapy, Shockwave Therapy)

Intake Form – Dave
(Massage Therapy, CranioSacral Therapy, Hot Stone Massage)

Intake Form – kristina
(Massage Therapy)