Preparing for your first visit: New Patient Intake Forms

Before coming into Pearl Natural Health for your naturopathic, acupuncture or Chinese medicine treatment, there are intake forms for you to fill in. These forms are the first step in helping us get to know what your concerns and expectations are for care.

For adults, please download and bring the below new patient intake forms with you to your first appointment:

Adult Intake Form and Health Questionnaire

Horowitz Lyme Questionaire
Consent to Treatment Form
Policies and Procedures Form
Health Information Consent

Frequently Asked Questions About Your Care

 

For Children please see below:

If your child is young please fill in the pediatric new patient intake form below and sign the consent form, policies and procedures and health information consent as well:

Pediatric Intake Form and Health Questionnaire

Consent to Treatment Form
Office Policies and Procedures Form
Health Information Consent