Forms

Patient Consent Form

Congratulations for making a commitment to your health. You will find a list of forms available to all our patients. If you're not sure what you're looking for or have any questions about the forms, please contact us. If you are a new patient, please download the Universal Intake Form below to get started on the path to a healthier, happier you.
Adobe_PDF_file_icon_32x32 Universal Intake Form

Forms

Acupuncture Clinic Form
You can download the PDF form here -- Adobe_PDF_file_icon_32x32  Acupuncture Clinic Form [193KB]
Chiropractic Consent Form
You can download the PDF form here -- Adobe_PDF_file_icon_32x32  Chiropractic Consent Form [58KB]
Massage Therapy Form
You can download the PDF form here -- Adobe_PDF_file_icon_32x32  Massage Therapy Form [171KB]
Naturopathic Form – Ali Houmed
Come in for a Naturopathis assessment by Ali Houmed. You can download the PDF form here -- Adobe_PDF_file_icon_32x32 Naturopathic Form [249KB]  
Naturopathic Treatment Consent Form
You can download the PDF form here -- Adobe_PDF_file_icon_32x32  Naturopathic Treatment Consent Form [330KB]
Osteopathy Intake Form
You can download the PDF form here -- Adobe_PDF_file_icon_32x32  Osteopathy Intake Form [145KB]
Physiotherapy Consent Form
You can download the PDF form here -- Adobe_PDF_file_icon_32x32  Physiotherapy Consent Form [50KB]
Pure Med Diet Diary
You can download the PDF form here -- Adobe_PDF_file_icon_32x32 Pure Med Diet Diary [53KB]
TCM Acupuncture Consent Form
You can download the PDF form here -- Adobe_PDF_file_icon_32x32  TCM Acupuncture Consent Form [176KB]
Universal Intake Form
You can download the PDF form here -- Adobe_PDF_file_icon_32x32  Universal Intake Form [84KB]  
Weekly Diet Diary
You can download the PDF form here -- Adobe_PDF_file_icon_32x32 Weekly Diet Diary [73KB]