Forms

FOR YOUR CONVENIENCE
Copies of the Consent to Treatment and the Consent to the Use of Personal Information forms are available in office and will be discussed with you at your first appointment.

They are posted here for you to review, if you wish, prior to your appointment.  These forms must be signed at your first appointment.

pdf adult intake form
pdf review of systems form
pdf consent to treatment
pdf consent for use of personal information
pdf privacy code

If you've booked your first visit at the clinic, Congratulations!
You’re one step closer to a healthier, happier you. Please note, as a new patient, you'll need to fill out an intake form and a review of systems. Just download the forms, print them, and fill them out before your first visit.

You'll notice that I take a fairly detailed history. That's all part of the benefit of naturopathic medicine - a comprehensive look at your health helps me get to the real cause of any problems you may be having.