613.774.BACK (2225) stlawarencechiro@gmail.com
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St Lawrence Chiropractic Clinic
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  • Treatment Services
    • Chiropractic
    • Acupuncture
    • Webster Technique
    • Orthotics
    • Genesis Pain Relief Light
  • Our Staff
    • Dr. Kelly Schuller B.A., B.Sc., D.C.
    • Dr. Barbara Dance DC
    • Loretta Van Dellen
    • Cindy Bryan
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Clinic Forms

pdf-docChiropractic Forms

Health History – Adults and children over the age of 5 chiropractic patients

Child Health History – Infants and children up to 5 years of age

 

Insurance Direct Billing Forms for Chiropractic

Consent for Direct Billing to Extended Health Care Insurance

Consent and Authorization for Electronic Claims—Sunlife Insurance

 

Blog Subjects

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Clinic Hours

Mon: 10:00 am — 5:00 pm
Wed: 2:00 pm — 7:00 pm
Thurs: 12:00 pm — 4:00 pm
Fri: 2:00 pm — 6:00 pm
Sat: 9:00 am — 12:00 pm (Closed one Saturday each month)

The clinic will be closed on statutory holidays.

Individual practitioner hours

  • Dr. Kelly Schuller, Chiropractor | Acupuncture | Custom Orthotics
  • Dr. Barb Dance, Chiropractor

Please call to book an appointment time.

Contact information

520 St. Lawrence Street,
P.O. Box 1118
Winchester, ON K0C 2K0

(613) 774-BACK (2225)
stlawrencechiro@gmail.com

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