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    BEFORE YOUR VISIT

    Download and complete the intake forms for your appointment

    We appreciate your co-operation in returning them before your appointment. This will facilitate your intake and enable your practitioner to spend less time asking questions and so devote more of your visit to treatment and education.  These forms are extensive, so we encourage you to set aside 10-15 minutes to fill them out.  You can return the forms by email, fax, or in person to reception.

    Any questions?

    Contact UsContact Us

    Devote more of your visit to treatment and education

    Choose the right form

    Select the appropriate form from the list of services on the left and download it to your computer. You can then print it, fill it out and bring it with you to your appointment or fill out the PDF, save it and email it to us at info@livingwellness.ca
    Thank you!

    Acupuncture Intake Form

    By filling out this comprehensive intake form, you are helping us to provide you with more effective care. We thank you for your time and patience in doing this.

    Download

    Acupuncture FormAcupuncture Form

    Chiropractor Intake Form

    By filling out this comprehensive intake form, you are helping us to provide you with more effective care. We thank you for your time and patience in doing this.

    Download

    Chiropractor FormChiropractor Form

    counselling intake form

    Please take time to fully complete this form. Having this data beforehand is helpful for developing a treatment plan. The more fully you complete the form, the less time we will need to take out of your first session to cover these preliminaries. If you would prefer, we can complete the form together during your first session.

    Downloads

    Forms for Jill Arnold
    Counselling Intake FormCounselling Intake Form

    Massage Therapy Intake Form

    By filling out this comprehensive intake form, you are helping us to provide you with more effective care. We thank you for your time and patience in doing this.

    Download

    Massage Therapy FormMassage Therapy Form

    Naturopathic Doctor Intake Form

    By filling out this comprehensive intake form, you are helping us to provide you with more effective care. We thank you for your time and patience in doing this.

    Download

    Individual’s Naturopathic formIndividual’s Naturopathic form
    Pediatric Naturopathic formPediatric Naturopathic form
    Naturopathic Add-on formNaturopathic Add-on form

    Women’s Fertility Intake Form

    By filling out this comprehensive intake form, you are helping us to provide you with more effective care. We thank you for your time and patience in doing this.

    Download

    Women’s Fertility FormWomen’s Fertility Form

    Cold Laser Therapy Intake Form

    By filling out this comprehensive intake form, you are helping us to provide you with more effective care. We thank you for your time and patience in doing this.

    Download

    Cold Laser Therapy FormCold Laser Therapy Form

    Pelvic Floor Physiotherapy Intake Form

    By filling out this comprehensive intake form, you are helping us to provide you with more effective care. We thank you for your time and patience in doing this.

    Download

    Pelvic Floor Physiotherapy Intake formPelvic Floor Physiotherapy Intake form

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