Intake Forms

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