407

Skip to content

Email Us
Online Booking
google social button facebook social button instagram social button
CALL (780) 482-7617

Home
About Us
- Blog
- Links
Meet Our Team
Our Services
New Patients
- New Patient Paperwork
Reviews
Contact Us
Online Booking

Activecare Chiropractic

Thank You

Signup Successful!

Thank you for completing our signup form. Please check your email (including your junk mail) for confirmation and if any additional information is required. A member of our team will contact you soon!

Email Activecare Chiropractic

Comments, Requests, Questions, or Suggestions

First Name

Last Name

Respond to me via:

Email

Phone

No Response

Email Address

Phone Number

I agree to refrain from including any personally identifiable information or protected health information in the comment field. For more info, read disclaimer.

Please keep in mind that communications via email over the internet are not secure. Although it is unlikely, there is a possibility that information you include in an email can be intercepted and read by other parties or unauthorized individuals. Please do not include personal identifying information such as your birth date, or personal medical information in any emails you send to us. Communication via our website cannot replace the relationship you have with a physician or another healthcare practitioner.

I consent to having this website store my submitted information so they can respond to my inquiry. For more info, read our privacy policy.

I consent to receive transactional messages from Moe Gebara Professional Corporation, DBA Activecare Chiropractic related to appointment confirmations, reminders, customer support etc. at the phone number provided. Message frequency may vary. Message and data rates may apply. Reply HELP for help or STOP to opt out.

I consent to receive marketing and promotional messages from Moe Gebara Professional Corporation, DBA Activecare Chiropractic related to special offers and discounts at the phone number provided. Message frequency may vary. Message and data rates may apply. Reply HELP for help or STOP to opt out.

Leave this empty:

Request Appointment (pending confirmation)

Patient Type

New Patient

Current Patient

Returning Patient

First Name

Last Name

Email Address

Phone Number

Respond to me via:

Email

Phone

Preferred Day/Time:

Date

Appointment Hour

Appointment Minute

AM or PM

AM

PM

Comments or Questions

I agree to refrain from including any personally identifiable information or protected health information in the comment field. For more info, read disclaimer.

Please keep in mind that communications via email over the internet are not secure. Although it is unlikely, there is a possibility that information you include in an email can be intercepted and read by other parties or unauthorized individuals. Please do not include personal identifying information such as your birth date, or personal medical information in any emails you send to us. Communication via our website cannot replace the relationship you have with a physician or another healthcare practitioner.

I consent to having this website store my submitted information so they can respond to my inquiry. For more info, read our privacy policy.

I consent to receive transactional messages from Moe Gebara Professional Corporation, DBA Activecare Chiropractic related to appointment confirmations, reminders, customer support etc. at the phone number provided. Message frequency may vary. Message and data rates may apply. Reply HELP for help or STOP to opt out.

I consent to receive marketing and promotional messages from Moe Gebara Professional Corporation, DBA Activecare Chiropractic related to special offers and discounts at the phone number provided. Message frequency may vary. Message and data rates may apply. Reply HELP for help or STOP to opt out.

Leave this empty:

Share on X Share on Facebook Share via Email

Email Us

Activecare Chiropractic
11704 Jasper Ave NW
Edmonton, AB T5K 0N3
Phone: (780) 482-7617

Copyright
Legal
Privacy
Cookies
Accessibility
Terms of Service
Sitemap

Chiropractic Websites by Perfect Patients

We use cookies and similar tracking technologies to analyze site usage, enhance our services, and deliver personalized content. We require your active consent to enable these cookies. You can customize your preferences or withdraw your consent at any time. Privacy Policy