Enabling you and your family to heal in mind, body & spirit

Before your first visit with one of our practitioners, we ask that you complete a health history intake form. This will help us to ensure the best possible treatment for you.

First time at our clinic? You will also need to complete the client agreement.

You can download the relevant forms below and fill them out before you come. If you are unable to do this, please arrive 15 minutes early for your appointment to allow time to do so.

 
Client Agreement Form – English
Download Form
Client Agreement Form – French
Download Form
Acupuncture Intake Form – Dr Stacia Kelly DC
Download Form
Acupuncture Intake Form – Emily Dunn L.Ac
Download Form
Allergy Therapy Intake
Download Form
Chiropractic Intake Form
Download Form
Clinical Somatic Therapy Intake
Download Form
Counselling and Psychotherapy Consent Form – Sofia Lopoukhine
Download Form
Counselling and Psychotherapy Consent Form – Lorena Ibacahe, M.A.
Download Form
Craniosacral Therapy Intake Form
Download Form
Emotional Blueprint Consent Form
Download Form
Energy Healing and Reiki Intake Form
Download Form
Functional Medicine Intake Form – Female
Download Form
Functional Medicine Intake Form – Male
Download Form
Herbal Medicine Consent Form
Download Form
Massage Therapy Intake Form
Download Form
Naturopathic Medicine Intake Form – Adult
Download Form
Naturopathic Medicine Intake Form – Paediatric
Download Form
Nutrition Intake Form
Download Form
Osteopathy Intake Form – Carl – English
Download Form
Osteopathy Intake Form – Carl – French
Download Form
Osteopathy Intake Form – Dominick, Florian, Justine, Robin – English
Download Form
Osteopathy Intake Form – Dominick, Florian, Justine, Robin – French
Download Form
Reflexology Intake Form – Dragan Lazetic RMT
Download Form