Downloadable Forms

Chiropractic

 

Please print and complete the chiropractic intake, and chiropractic consent forms and bring along with you to your initial Chiropractic Assessment.

Chiropractic Intake

Chiropractic Consent


Massage Therapy

 

Please print and complete our health history, and consent forms and bring them along to your initial massage therapy appointment.

Massage Therapy Health History

Massage Therapy Consent


Naturopathic Medicine

Please save and complete the Naturopathic intake form below. Once complete please email to your Naturopathic Doctor or print and bring it to your initial appointment. Sending the form in advance allows your doctor to review your goals & history in preparation of your visit.

 

Naturopathic Adult Intake – Sage Wellness

Naturopathic Child Intake (Infant – 5 Yrs)

Naturopathic Child Intake (6 – 12 Yrs)

 


Acupuncture

Acupuncture with Lailee Mussivand, RAc, Forms

Please print and complete the acupuncture forms and bring them to your initial acupuncture appointment.

Acupuncture Initial

Acupuncture Consent

 

Holistic Nutrition

 

Food journal

Health Assessment grid CM RHN

Intake and Lifestyle Assessment Form CMRHN