FORMS
 

Adult Intake Form  - This is a printable form for use by patients of Dr. T. LO

General Information Form - This is a printable form for use by patients of Dr. B Harper, Dr. J Mayhew, Dr. K Wilmot and Dr. R Young.

Muriel Okubo - Clinic Financial Policy Form - This is a printable form for use by patients of Muriel Okubo

Muriel Okubo - Patient Health History Form -  This is a printable form for use by patients of Muriel Okubo

New Patient Agreement Form - This is a printable, general form used by new patients.

Pediatric Intake Form (Birth to 5 years)  -  This is a printable form for use by patients of Dr. Theodora LO, B.Sc., N.D.

Pediatric Intake Form (6 to 12 years)  -  This is a printable form for use by patients of Dr. Theodora LO, B.Sc., N.D.

Steve Saville Forms -

Steve Saville - ParQ Form 3

Steve Saville - Food Journal 2

Steve Saville - Informed Consent

Steve Saville - Questions of Progress

 

Please fill out the necessary forms and bring them with you 10 minutes before your appointment.
 



 

 

 

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