Forms for Complete Wellness Clinic

For your convenience we have provided our intake forms below. Before your first appointment, please print and fill out the appropriate forms and bring it with you to your appointment. If you are unable to do so, please arrive 10 minutes prior to your scheduled appointment time to complete them. For naturopathic and counseling appointments, please allow 20 minutes prior to your appointment time to complete the intake forms in person.

Important

Please acknowledge that our office policy requires twenty four (24) hours notice of cancellation. Without 24 hours prior notification, you will be billed a cancellation fee. For counseling appointment cancellations, 48 hours notice is required. All NSF cheques will also be charged a fee.

If you have any questions about information requested in a form or how to fill it out properly, contact us.

Milton

Dr. Amy L. Scherer BSc, DC
Chiropractor
Patient intake form

Dr. Natalie McDonald BSc, DC
Chiropractor and Acupuncture Practitioner
Patient intake form
Intake form for pediatrics

Dr. Montana Speed BSc, DC
Chiropractor and Acupunture Practitioner
Patient intake form

Tamara J. Brady, RMT, BA, BScPT
Keri Feldman, RMT
Mark Whitley, RMT
Gail Hamilton, RMT
George Kolena, RMT
Registered Massage Therapists
Massage intake form

Tamara J. Brady, BA, BScPT, RMT, CMRP
Certified Matrix Repatterning Practitioner
Matrix repatterning intake form

Dr. Reecha Panchal, ND
Naturopathic Doctor
Please call Complete Wellness Clinic for specific intake forms

Nicole S. Chudzinski MSW, RSW
Healing Moments Therapy
Healing Moments New Client Package
Counselling Registration Form

Guelph

Todd Patterson
Chiropractor
Patient intake form

Robyn Green
Registered Massage Therapist
Massage intake form