Universal Chiropractic Online Forms

We offer our paperwork on line so you can complete it in the convenience of your own home. 


Chiropractic New Patient Forms

Just some helpful information about you

  Download & Print Form


Massage Health History

This let’s us know what’s happened, but perhaps more important, where do you want to take your health?

  Download & Print Form


Massage Consent Form

  Download & Print Form


Free AdobeReader®

Each form is a PDF document file.  If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.




Dr. K. A. Suek
Dr. Emily Andersen

6535 D Mississauga Road,
Mississauga, ON L5N 1A6

Phone: (905) 567-8535
Teaching the residents of Mississauga, Streetsville and Brampton how to reach optimal health .

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Women's Health Issues
Children's Health Issues
Stress Management

Universal Chiropractic Asks some important questions of interest to Mississauga residents - Chiropractor Mississauga Universal Chiropractic Asks...

How could a child benefit from chiropractic?
Regardless of our age, each of us in Mississauga encounters physical, chemical and emotional stresses that exceed our ability to handle. For newborns, it could be the trauma encountered at birth. For toddlers it could be from learning to walk or ride a bike. Many of the problems we chiropractors see in adults are the result of neglected traumas from childhood.
Can a chiropractor heal?
There's never been a case in which a doctor (chiropractor or otherwise) has formed scar tissue, mended a broken bone or cured a headache. Only you can do that. Turns out you're the doctor! All I do is help remove interferences to your body's healing ability. Ready to get started? Call our office today.