Forms

To help make the most of your initial consultation, please print, complete and bring the following forms to your first appointment.

Intake and consent forms

 

In view of COVID-19 associated restrictions affecting all health-care related practices in Ontario, all patients are requested to please review the following document for directions prior to booking an appointment.

COVID-19 Screening Checklist

 

Additional COVID-19 measures to note:

  • We will be restricting entry to the clinic and scheduling a downtime between patient visits to allow for the disinfection of treatment rooms. Other than your practitioner, who will be masked throughout your visit, you should encounter no other person.
  • All patients will be screened prior to their entry and provided with disinfectant for their hands.
  • As per city bylaws, all patients are requested to wear masks while in the clinic.
  • We prefer to have patients arrive for their appointments unaccompanied.  In those cases where a patient might require the supportive assistance of a family member, we require that such assistance be limited to only one individual.

 

 

Patients, please note:

While communications through our website and email service are encrypted to safeguard your privacy, it must be noted that no electronic means of information transfer can be 100% secure. Therefore, we encourage all patients to avoid submitting their intake forms through email.