Forms


Our Clinic |  Forms

Please look below to find the initial intake and consent forms you will need for your first appointment.

You may print, fill out, and bring these forms with you.

If you cannot print these forms, please arrive 10-15 minutes before your first appointment to fill them out at the clinic.

Thank you.


Acupuncture Forms

 

Acupuncture Intake Form

Acupuncture Consent Form

Massage Therapy Forms

 

Massage Therapy Intake and Consent

Massage Therapy Direct Billing (optional)

Naturopathic Medicine Forms

 

Naturopathic Medicine Intake And Consent Forms – Adult

Naturopathic Medicine Intake And Consent Forms – Pediatric


For your convenience, we have listed links to the claim forms for various insurance companies below.

Manitoba Blue Cross

Green Shield

Great West Life

Chamber of Commerce

Industrial Alliance

Johnson Group Maximum Benefit

Manulife

Sirius Insurance