Online Forms

Regent Park Upper Cervical Chiropractic and Weight Loss offers our patient form(s) online so you can complete it in the convenience of your own home or office.

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  • 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 Health History Form

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Auto-Accident Forms

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Acupuncture Forms



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Location

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Office Hours

Our Regular Schedule

Monday:

8:30am - 1:00pm

2:30pm - 6pm

Tuesday:

8:30am - 1:00pm

2:30pm - 6pm

Wednesday:

8:30am - 1:00pm

2:30pm - 6pm

Thursday:

8:30am - 1:00pm

2:30pm - 6pm

Friday:

Closed

Closed

Saturday:

Closed

Closed

Sunday:

Closed

Closed

Testimonials

Reviews By Our Satisfied Patients

  • "5* After decades of chiropractic care, I thought I'd received the best possible outcome for my neck injury from a fall further exacerbated by a severe car accident.
    Little did I know that in just two sessions Dr. Roy would have me almost as good as new!
    Thanks again for hearing my complaint and knowing exactly how to adjust T1/T2/C7 areas on my neck for instant, long lasting relief."
    C Broadway
  • "5* - Dr. Roy has added a massage therapist and I'm so excited to have that available for my overall wellness care. Dr. Roy always seems to put his finger exactly where I'm needing an adjustment and with his upper cervical adjustments, I've gone from 4 migraines a month to less than one a year! I haven't felt better."
    Chrystal R.
  • "5*"
    Kelly B.
  • "5* - I know Dr. Roy personally and he does a great job. He is an honorable man who cares about his patients and is an USAF veteran to boot."
    Col Paul S.
  • "5* - So love this place! Four days ago I came home from a long trip..my back from hurting from the travel. They were able to take me in for an appointment the very next day and put 2 ribs back in place. Besides that, I love the employees there. They are so refreshing and kind and I highly trust them with my back."
    Sara W. F.
  • "5* - Visiting Dr. Roy's Chiropractic Clinic since last year and very pleased with the results so far!
    Thank you so much Dr. Roy!"
    Stephan S.
  • "Since starting treatments with Dr. Roy not only is my back better and I now know what the issues are - his gentle chiropractic approach has helped my back, knees and hips. Thanks Dr. Roy"
    Susan E.