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Before you begin, please review the instructions below. When you are ready, click on the "New Patient Form":

New Patient Form


Detailed Instructions:

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Follow these easy steps in order to a patient of the Vaughan Medical Centre Natural Healthcare Team.

STEP 1: Please fill out all FOUR (4) online intake forms below. The "secured appointment form" is important in order to guarantee you an appointment. No charges will be made to your credit card at this time. Charges will only apply if an appointment is missed without advance notice. Without this form filled out, there is no guarantee that your appointment will be made or held. Please allow us 3 business days to respond to you with scheduling options. Do not forget to bring all current laboratory, diagnostics, and other information on your condition(s) with you to your first appointment.

imgNew Patient Form
imgComprehensive Profile Form
imgReview of Systems Form
imgSecured Appointment Form (no charge applies unless missed appointment)





STEP 2:
Please PRINT OUT and SIGN the "Informed Consent" and the "Consent for Disclosure of Information" and bring them with you to your appointment.


imgInformed Consent to Naturopathic/Homeopathic Treatment Procedures
imgPatient consent form for collection, use and disclosure of personal information

 

 

Step 3 (Optional): If instructed to do so, please print out the appropirate form(s) below, and have them filled out before your visit.

imgPediatric/Adolescent Intake Form
imgBreast Feeding Intake Form




**All information is always kept strictly confidential between the doctor and patient **

Click this link for more information on our: Fee Guide


One of our personal asisstants Frida or Chanel will be in touch to confirm your appointment time upon receipt of ALL forms. Please don't forget to include a day phone number for best point of contact.

"The transition into health must be a conscious,concerted, and resolute endeavor. This on all levels, mental, emotional, and physical, every minute, of every day. We're here to help and we look forward to helping you soon!

- The Vaughan Medical Centre Natural Healthcare Team