Skip to main content

Patient forms

Patient forms

Ready for your first visit.

Completing your forms ahead of time means more of your appointment is spent on care.

Call 780-960-8711

Request an appointment

Tell us a little about what you need and our team will contact you to confirm a time.

    Prefer to talk? Call 780-960-8711

    Forms

    Clinic forms.

    Downloadable forms will be available here soon. Until then, please arrive 10 minutes early to complete them in clinic, or call us and we will send them to you.

    New patient intake

    Your contact details, health history and the reason for your visit.

    Consent to assessment & treatment

    Information about your care and your consent to proceed.

    Motor vehicle accident intake

    Claim, insurer and collision details for MVA-related care.

    Counselling intake

    A short intake for clinical counselling sessions.

    Privacy

    Your information is protected.

    Please do not send detailed health information by ordinary email. Bring completed forms to your appointment or ask our team about the best way to share them securely.

    Spruce Grove

    Start with a conversation.

    In clinic, at home or online, our team will help you choose the right next step.

    Book an AppointmentEmail the clinic
    Book a Consultation