Integral Health Clinic Client Intake Forms
If possible, please print and complete these forms prior to attending your initial consultation, and bring them to your appointment. If you are unable to do so please arrive 15mins early for your appointment to allow time for you to fill them out.
You will need to complete only 2 forms – the patient agreement and one form relating to your appointment.
Thank you.
Client agreement-Intake Form:
Dr. Shahram Ayoubzadeh
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- Adult Naturopathy and Homeopathy Intake Form (to be completed by all clients)
- Long Adult Naturopathy and Homeopathy Intake Form (please do not use this form unless specifically requested by your doctor)
- Pediatric Naturopathy and Homeopathy Intake Form
- Child Intake Naturopathy and Homeopathy Intake