Burnaby Registered Massage Therapists, Physiotherapists, Chirpractic, Naturopathic Care

Patient Intake Forms

Please download the forms required, fill them in, print them and bring them into your first appointment.

*Everyone is required to fill-in the Case History Questionnaire

Performax Health Group Case History Questionnaire Form Click Here to Download
Performax Health Group Intake Consent Form Click Here to Download
Naturopathic Physician - New Patient Intake Form Click Here to Download
Chiropractic - Chiropractic Initial Assessment Form Click Here to Download
Chiropractic - Informed Consent Form Click Here to Download
Mental Health Services - Informed Consent Form Click Here to Download
Mental Health Services - Intake Form Click Here to Download