Patient Forms

Here are our available patient forms for download. You can fill any of these out and bring them in with you to the clinic. For any questions about the forms please contact Dr. Natasha at drnatasha@cogeco.ca. Click on the available forms below to download a pdf of them.

• Naturopathic Intake Form: Online Deployment URL for Adult Intake: http://app.fluidsurveys.com/s/NaturopathicQuestionniare/
• Child Naturopathic Intake Form: Online Deployment URL for Child Intake: http://app.fluidsurveys.com/s/KidsQuestionnaire/
• Informed Consent For Naturopathic Treatment - please click here to download.