Intake Forms

Wellness & Rehabilitation Patient Intake Forms

Please complete the following intake forms prior to your appointment for the Chiropractor, Physiotherapist, Massage Therapist, Naturopath, Holistic Nutritionist, and Acupuncture Provider. By completing the forms as detailed as possible, you will assist your practitioner with understanding your health concern. Thank you.

Physiotherapy, Chiropractic & Registered Massage Therapy Intake Form:

  1. Physiotherapy, Chiropractic & Massage Patient Intake

Naturopathic Form

  1. Naturopathic Adult Patient Intake Form
  2. Naturopathic Child Patient Intake Form

Nutrition Forms

  1. Lifestyle Assessment Form
  2. Nutritional Counselling Rates and Packages

Join Our Monthly Fit for Life Wellness & Rehabilitation Newsletter

Our monthly health newsletter is emailed the first week of each month. To join the monthly health newsletter simply fill out the form below. Please write “newsletter” in the comments section of this form. Thank you.