{
  "verified": false,
  "status": "BRONZE_PUBLIC_RECORD",
  "tier": "bronze",
  "legalName": "Form Health",
  "tradingName": "Form Health",
  "domain": "formhealth.ca",
  "websiteUrl": "https://formhealth.ca",
  "domainAttested": false,
  "governmentRegistryLinked": false,
  "stateFilingId": null,
  "stateFilingName": null,
  "stateFilingUrl": null,
  "duns": null,
  "identifiers": [],
  "profileUrl": "https://aiverified.io/business/ca/form-health-4db7057f81f7",
  "passportUrl": "https://aiverified.io/business/ca/form-health-4db7057f81f7",
  "passportJsonUrl": "https://aiverified.io/v/4db7057f81f74cb004f7f9fa644fbe344a11828bc8c1473093fa42320f43563d.json",
  "shortUrl": "https://aiverified.io/r/4db7057f81f7",
  "forensicHash": "4db7057f81f74cb004f7f9fa644fbe344a11828bc8c1473093fa42320f43563d",
  "countryCode": "CA",
  "city": "Edmonton",
  "region": "AB",
  "category": "Chiropractor",
  "eligibilityTrack": "local_storefront",
  "issuedAt": "2026-08-27 03:56:09",
  "lastEvidenceAt": "2026-08-27 03:56:09",
  "disclaimer": "AI Verified documents selective public identity evidence. Not a government agency. Not a ranking guarantee.",
  "entityKind": "organization",
  "parentHash": null,
  "brandKey": null,
  "claimScope": "organization",
  "identityType": null,
  "publicName": "Form Health",
  "legalEntityName": "Form Health",
  "relationshipType": null,
  "relatedOrganization": null,
  "relationshipStatus": null
}