Milton
[Dr.
Amy L. Scherer
BSc, DC
Chiropractor
üPatient
Intake Form
[Dr.
Natalie McDonald BSc, DC
Chiropractor and Acupuncturist
üPatient
Intake Form
üPatient
Intake Form Peds
[Kerry
Burke, Hon, BA, Kin, RMT
Registered Massage Therapist
üAcupuncture
Patient Information
üPatient
Information pg.2
üPatient
Information pg.3
üMassage Therapy Appointment Policies
üConfidential Health History Form
[Melissa Mitchell RMT
Registered Massage Therapist
üMassage Therapy Appointment Policies
üConfidential Health History Form
[Genevieve
Roberts, RMT, CDT
Registered Massage Therapist
üMassage Therapy Appointment Policies
üConfidential Health History Form
[Lindsay Letkeman, RMT
Registered Massage Therapist
ü
Massage Therapy Appointment Policies
üConfidential Health History Form
[Kim
Vivian BSc, ND
Naturopathic Doctor and Advanced
Bowen Therapist
- For a
Naturopathic initial visit; please complete the
Review of Systems, Intake form and Informed
Consent Form
- For a Bowen
Technique or Acupuncture initial visit; please
complete the Intake form and Informed Consent
Form
- For a pediatric
initial visit, please complete the pediatric
form
üInformation
Package
Review of Systems(ROS)
üIntake Form
üInformed
Consent Form
üPediatric
Intake Form
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