Naturopathic Treatment Forms
Prior to your first Naturopathic treatment with Dr. Natalia Rey-Caughlin at Tri-City Natural Health Care Centre, you will be required to complete a Treatment Intake (Confidential Health History) Form, an Informed Consent to Treatment Form, a Privacy Form, and Personal Contact Details Form. If you wish, you may click on an image below to download a PDF version and bring it with you to your first appointment.
Contact us if you have any questions or concerns.
Contact us if you have any questions or concerns.
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Click on the image below to download a PDF version of our
Naturopathic Treatment Intake Form (Health History) (opens in new browser window): 
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Click on the image below to download a PDF version of our
Informed Consent to Treatment Form: (opens in new browser window): 
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Click on the image below to download a PDF version of our
Naturopathic Treatment Privacy Form (opens in new browser window): 
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Click on the image below to download a PDF version of our
Personal Contact Form (opens in new browser window): 
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