Forms - Integral Health Clinic

forms - integral health clinic - ottawa oanada
Integral Health Clinic forms.
If possible, please print and complete one form relating to your initial consultation, and the patient agreement. Bring these to your appointment.
Thank you.

1. To be completed and signed by all patients.


2. General intake form to cover:

Allergy Therapy, Lifestyle & Nutrition, Lymphatic massage, Reflexology, Reiki, Shaitsu,

3a. Naturopathy intake forms: Dr. Anouk Chaumont.

Please choose ONE of the forms listed below (English or French).

3b. Naturopathy & Homeopathy intake forms: Dr Shahram Ayoubzadeh

Please choose ONE of the forms listed below. If you choose to complete the Long intake form please ensure we receive it in the office at least 2 working days before your appointment. You can fax it, send it scanned and attached to an email, or by mail or hand.

4. Osteopathy intake forms.

5. Hypnosis, EFT and HypnoCoaching intake forms.