We Welcome All New Patients. No Referral Required!
Your First Visit
When you visit us at RC Walk-In Chiro, our friendly team will welcome you to our practice and present you with our patient form(s), so you can be checked in and registered in our system.
Alternatively, you can download these files in advance so they can be completed in the convenience of your own home or office.
- All forms are PDF files. You will need AdobeReader® to view them.
- If you do not already have AdobeReader® installed on your computer, Click Here to download.
- Download the necessary form(s), print them out and fill in the required information.
- Fax us your printed and completed form(s) or bring them with you to your appointment.
Chiropractic New Patient Intake Forms
Massage New Patient Intake Forms
If you have any questions about these forms, do not hesitate to let us know at the time of your appointment or call us in advance. We are here to help!
Our Patient Fees
At RC Walk-In Chiropractic, we are committed to providing you and your family the safest, effective chiropractic care possible in a loving and caring environment. We have established our financial policies to assist us in achieving that goal.
Fees updated as of May 5, 2022
|Chiropractic Treatment Rates (without insurance):||Initial
||Over 7 Visits MH
|Children 13 and under
|Chiropractic Treatment Rates (with Private insurance – direct billing):|
|Children 13 and under||$50.00||$40.00||$50.00||n/a|
| **Please note that Manitoba Health (MH) only covers the first 7 visits. Once this has been exhausted, the pricing will increase by $10
|Massage Therapy Rates:
|60 Minute Massage
|90 Minute Massage
|120 Minute Massage
|Hot Stone Massage (60 Minutes)||$115.50|
|Hot Stone Massage (75 Minutes)
|(+ GST 5% tax)|
|Physiotherapy Treatment Rates:||General Fee|
|Physiotherapy Initial Exam (45 minutes)
|Subsequent Physiotherapy Treatment (30 minutes)
|Pelvic Floor Initial Exam (60 minutes)
|Pelvic Floor Subsequent Treatment (60 minutes)
|Athletic Therapy Treatment Rates:||General Fee|
|Initial Exam (60 minutes)
|Subsequent Treatment (60 minutes)
|Acupuncture Treatment Rates:||General Fee|
|Initial 45 minutes
|Cupping (10 minutes)
|*Please note that with acupuncture visits, cupping is free of charge|
|X-ray for one area (e.g. lumbar spine)||$60.00|
|Full spine x-ray||$105.00|
|*Please note that our x-ray services are not yet linked with Manitoba Health, therefore, Manitoba Health will not cover x-rays at our location for the time being. It would have to be paid out of pocket or with the use of your own private insurance.|