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Forms

Make Sure

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

Individual’s Counselling FormIndividual’s Counselling Form
Couples Counselling FormCouples Counselling 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.

Downloads

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