The Burnaby Chiropractor to see - Chiropractor Burnaby

Online Forms

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

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

Automobile Accident

If your health issue is the result of a car accident, we need some additional information.

 Download & Print Form (coming soom)

Worker’s Compensation

If your health issue is the effect of an injury at work, this information will help us help you.

 Download & Print Form (coming soon)

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.


If you have any questions, please click the “Email Doctor” button at the bottom of each page or call Holdom Chiropractic at 604-298-1777 to reach one of our staff. We look forward to assisting you with anything you may need!



Dr Ron Uppal, 111-2251 Holdom Avenue, Burnaby, BC | 604-298-1777
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Dr Ron Asks some important questions of interest to Burnaby residents - Chiropractor Burnaby Dr Ron Asks...

Will chiropractic adjustments make my spine too loose?
No. Only the spinal joints that are fixated and "locked up" receive attention. The occasional spinal joint that moves too much is passed over so weakened muscles and ligaments can strengthen and heal.
Why do so many drugs require a prescription?
Because they can be dangerous? I chose a chiropractic career specifically because it avoids artificial means of pain relief. Our Burnaby chiropractic practice attracts health-conscious families that prefer a safe and natural solution. Ready to get started? Call our office today.