New Patient Form - Acupuncture
Fill out and submit the form online via secure internet connection.

Alternately, the completed form can be faxed to: 416-929-6365.  

*It is important that you list your email address accurately and state reachable phone numbers so that we can contact you promptly.

Acupuncture Secure Online Form

Acupuncture form (PDF)

New Patient Form - Naturopathic Services

• Naturopathic Form is required prior to the initial visit. You will be asked to fill out the Lifestyle and Diet Forms after the initial visit.

• The completed form can be faxed to: 416-929-6365.  Please also bring the original with you at your first visit
  
  

Naturopathic form (PDF)

Lifestyle form (PDF)

Diet form (PDF)

New Patient Form - Massage, Shiatsu, Reflexology
Please bring the completed form with you at your first visit.  The form can also be faxed to: 416-929-6365. 

Massage form (PDF)