‍‍‍Health Questionnaire

‍‍‍Detailed description of all past and current health‍‍‍ concerns and treatments to be reviewed ‍‍‍with practitioner on first visit.

Outlines Stittsville Integrative Medicine Centre’s adherence to privacy issues and medical and personal information, and acknowledgment of centre’s ownership.

Stittsville Integrative Medicine Centre’s seven day diet and lifestyle diary.

If you are a new patient, please complete these forms prior to your appointment in order to save time in the waiting room. If you are unable to complete these forms in advance, you will have an opportunity to do so prior to your appointment.

Form‍‍‍s‍‍‍‍‍‍

Stittsville Integrative Medicine Centre provides full family medical services as well as complementary and alternative medical services, including chiropractic, registered massage therapy, acupuncture, and nutritional counseling.

Located in Stittsville, we serve Kanata, Goulbourn and surrounding communities.

Achieving, maintaIning, and promoting health throughout life.‍‍‍

Stittsville Integrative Medicine Centre‍‍‍‍‍‍

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OUR PHILOSOPHY

The Stittsville Integrative Medicine Centre is excited to provide a health clinic that offers many options in health care. Our mission is to assist individuals in achieving, maintaining, and promoting health throughout their lives irrespective of their current age or health condition.

We utilize scientifically supported health approaches from both mainstream medicine and Complimentary and Alternative Medicine (CAM).

Contact Us | Ph‍‍‍one: 613-836-1711 | Fax: 613-836-1712

Outlines Stittsville Integrative Medicine Centre’s adherence to privacy issues and medical and personal information, and acknowledgment of centre’s ownership.

Chiro Consent‍‍‍