New Patient Forms

New Patient Forms

North Shore Wellness Centre offers our patient form(s) online so you can complete the necessary form(s) in the convenience of your own home or office.

  • If you do not already have AdobeReader┬« installed on your computer, Click here to download.
  • Download the necessary form(s), print, and fill in the required information.
  • Fax us your printed and completed form(s) or simply bring it with you to your appointment.

These New Patient History Forms are required. They let us know the history and current state of your health and allow you to articulate your questions, concerns and goals, regarding your wellness. Let us know, so we can help you!

Acupuncture – New Patient Intake Form

Chiropractic – New Patient Intake Form

Massage – New Patient Intake Form

Naturopathic – Dr. Schlegel New Patient Intake Form





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