Patient Intake Forms

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Patient Intake Forms

Download, print and fill out our paperwork in the comfort of your home.

Click the download button below to download our paperwork as a PDF Document and simply bring them with you to your next visit with Dr. Bercovitch (to download: rightclick and save link as).

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Schedule online to receive offer.

*New Patients Only

3D ADVANCED

Education

At LiveWell Family Health Centre, it is our mission to guide you and your family to be well, stay well and live well.

What Our Clients Say

Luis R.

I love coming here. The atmosphere is always fantastic! The energy and the care I receive are great. I always look forward to getting my adjustments from Dr. Sab and Dr. Jason. It is also a very zen place for registered massage therapy. My posture, breathing and Body Mass Index have improved beyond my expectations. Thank you so much for the care you provide our whole family.

Shelley L.

I started going to Live Well Family Health Centre on Centrepointe around 2 months ago. I had been going to another chiropractor in the city, but felt that it was not doing too much. My Daughter also goes to the center and recommended that I try it out. I first met with Dr. Jason, who listened to me about my aches and pains and then subsequently had a session with him. I also told him about my TMJ and he did this procedure that had never been done to me before, and the instant relief in my jaw was amazing. Dr. Jason and his staff are incredible. I do look forward to my appointments.

Anna K.

Live Well Family Health Centre is an awesome place for chiropractic, yoga and massage (those are just the services I have tried). Drs. Jay and Sabrina are amazing chiropractors and are, along with their staff, personable, caring and very skilled. Thank you to all of you!

 

Michelle C.

I highly recommend LiveWell Family Health Centre. I went from sitting on the sidelines to back in racing form in one season. Already signed up for National Capital Race Weekend and I?m confident nothing will hold me back, thanks to Dr. Jason and his team.

Jin-Lin Y.

I came to prevent scoliosis from getting worse. Awesome service, excellent results!

Katharine L.

Before coming to see Dr. Jason, I can?t remember a time when I could tip my head back and look at the ceiling, not even when I was a teenager. He fixed that, and a few other nagging problems, not to mention that I just generally feel better. Now, I actually function like a ?normal? person! Thanks Dr. J!

Bassy M.

Thank you Dr. Jason and Dr. Sabrina for your amazing service, warmth, for being so accommodating, friendly, professional ? you are the best!

FREE CONSULT

Online Only

Schedule online to receive offer.

*New Patients Only

3D ADVANCED

Education

INTAKE FORMS

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