Click on the links below to download and print forms.


If you are new patient to Healthy Roots please complete the appropriate service forms and bring them to your first visit. Forms are also available at the clinic, conveniently located on the front of the reception desk. If you are return patient to Healthy Roots, but receiving a new service/treatment, then please fill out those applicable forms. Thank you.


Massage Therapy Forms



Traditional Chinese Medicine & Acupuncture Forms



Biofeedback Form



BodyTalk Forms



330 Gardiner Park Court

Regina, SK S4V 1R9

Phone: 306-522-KNOT (5668)

Fax: 306-522-PAIN (7246)



© 2010-2017 the yellow studio — le studio jaune. All rights reserved

Contact us

Optional Information



Submitting Form...

The server encountered an error.

Form received.