Health Questionnaire
Detailed description of all past and current health concerns and treatments to be reviewed with practitioner on first visit.
Patient Forms
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.
- This form applies to all patients
Health Consent Form
Outlines Stittsville Integrative Medicine Centre’s adherence to privacy issues and medical and personal information, and acknowledgment of centre’s ownership.
- This form applies to all patients
Seven Day Diet
Stittsville Integrative Medicine Centre’s seven day diet and lifestyle diary.
- Use this form at your doctor's request
