New Patient Centre

Download All New Patient Forms Here

Call Us:

(204) 325-9604

Health Questionnaire

Click icon to download Health Questionnaire

Required by all new patients

Fee Agreement

Click icon to download Fee Agreement Form

Required by all new patients

Insurance Authorization

Click icon to download Insurance Authorization Form

Only required when you have insurance that we will be direct billing

Appointment Inquiry Form

Contact Us

  • 344 First Street Unit 3, Winkler, MB R6W 2R6
  • Phone: 1 204 325 9604
  • Fax: 1 204 325 5845
  • Text: 1 204 362 4568
  • admin@winklerchiropractic.com