Forms

Health History and Intake forms:
Please fill out either the appropriate forms prior to your first appointment.  You can fax the form via the confidential fax line -- 250.590.1502 -- or bring it with you to your first appointment. Please give yourself some time to fill out these forms as they are quite detailed.

Note: you will need the free Adobe Reader to download these forms. CLICK HERE to download that.

Naturopathic Visits

Adult Intake Form
    Adult Consent Form
    Child Intake Form (15 and under)

    Massage Therapy

    MASSAGE Intake form
    Massage Consent Form

     

    Acupuncture

    Acupuncture Intake Form
    Acupuncture Consent Form

    Additional Forms

    Diet Diary