519-457-2193
Schedule Now

Patient Intake Forms

Martin Wellness 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 office.  These forms let us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

• 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.

Required

Adobe Reader Required

In order to view and print our intake forms you must have Adode Reader. If you don't have Adobe Reader you can click the "Get Adobe Reader Button" to download and install it from the official adobe website.

It's free, safe, and takes less than 2 minutes.

Have A Question About Being a New Patient? 519-457-2193

  • Intake Forms

    Download and Print our intake forms.

  • My First Visit

    What to expect at your first visit.

  • Payment Options

    Affordable care for everyone.

  • Gallery

    Photos of Martin Wellness

Angela M

We've seen benefits for the whole family from colic to headaches and back pain relief. Dr. Martin and his staff help us to feel great in our busy lives!

Ana D

My name is Ana...in the last 3 years I had been experiencing pain everyday due to a car accident. loss, and stress. At age 24, I felt hopeless. I had tried everything, but now I can finally say that I have found something that works. I am pain free! I have stopped using my rescue inhaler for asthma almost completely. I can reach my fitness goals, sleep better, and just finally feel my age. My life quality has improved 100%. At MW they don't just do a wonderful job but they truly care and they will help you! Don't waste time, go to MW and try it for yourself. You will be as happy as me!

Karen B

Dr. Martin has played a significant role in my overall health for the past 8 years. Recently, I developed sciatica while training to participate in a full Tough Mudder event. Thanks to Dr. Martin's expert care, I accomplished my goal on my 63rd birthday. It is amazing what the body is capable of achieving when the mind is willing.

Rachel D

I can now drive to the cottage pain free! Thanks to Dr. Martin and staff. Before, after 45 minutes I would be in pain, now I can make the four hour drive!

James H

Coaching turns my dreams and goals into life practices and challenges me to the next level.

Hannah B

I love how Dr. Martin brings to life the miraculous way the body can heal itself without the use of medication.

Josh

I get adjusted on a regular basis to keep my body feeling the best that it can. Adjustments also help with my stress levels and help me recover faster with injuries and ailments.

Brooke A


I started coming to see Dr. Martin after I began experiencing lower back pain while working out. I have been coming now consistently for over a year now and am happy to say that my lower back pain is gone, and I can now really push myself in my workouts. I now continue to see Dr. Martin for preventative care! Thanks!

Kim M

I would like to thank Dr. Martin and Monica Seabra for helping me with my overall wellness plan. They listen, care and always know the right way to help keep me moving in the best direction for me. Thank you!

Mary S.

What an energizing health acquaintance & experience you will treasure when you visit this office! The easy-going professional demeanor makes it a pleasure and relief as I have experienced for ear (fullness) and sinus challenges. Not only are the adjustments by Dr. Martin both gentle and relieving, the staff goes the extra mile to provide a welcoming & comfortable assurance. I am thankful for this valuable prescription.

Kathy M.

I truly believe that my visits every other week are what keeps me healthy and energized. I live a very busy life and staying healthy is important. If I feel a little “something” (cold, sinus) coming on a quick word and visit to Dr. Martin always seems to help. As well, it is always nice to visit such a positive place.

Janet

I have benefitted from being a patient of Dr. Martin for a few years. I have experienced vibrant health as a result. My flexibility and activity levels have increased, my previous back issues are resolved and my immune system works very well – cold & flu free for several seasons. I also find that my stress levels are lowered, even though life’s stresses are still present. Walking into offices at Martin Wellness is an uplifting experience – the staff and energy in the office is exhilarating. Thank you!

Emily

Receiving chiropractic care has absolutely transformed my health and well-being! Before meeting Dr. Martin, I suffered from chronic pain, anxiety, and depression. I was also diagnosed with fibromyalgia. A medical professional once told me that I would just have to manage these issues every day for the rest of my life. Not true!
Under the care of Dr. Martin, my pain is significantly lessened, feelings of anxiety and depression are rare, and I no longer require prescriptions. I wish I had known about the understood the benefits of regular adjustments much sooner in life. I now make it a high priority for me and for my children.
Dr. Martin provides exceptional care that is both efficient and compassionate. The moment I walk in the door at Martin Wellness, I feel like the healing has already begun!

Abbie


I have been working with Melissa for the past several months – she has helped me move forward in a number of area’s in my life where I had been feeling stuck for some time. She has a great intuition, asks compelling questions and has helped me self-discover what my next steps need to be. Melissa helps me be accountable to the future vision I have created for my life. Melissa is an empathetic coach with a great sense of humour - I have and will continue to recommend her to friends and colleagues.
Sincerely, Abbie

Esther - Elementary School Principal

Melissa's coaching has empowered me with the tools I needed to achieve balance in my life, personal and professional success and optimal health. People often overlook the importance of accountability and goal setting when it comes to their personal life. I am grateful for the coaching lens that has taught me how to look at my life, prioritize and become the best person I can be. I am finding that as I continue to develop these skill and utilize the tools I have received from my coach, I have far less regrets and am enjoying a full and abundant life. I am truly grateful for Melissa's input and coaching.

New Patient Menu

© 2024 ChiroBuilt. All Rights Reserved.