TRI-CITY NATURAL HEALTH CARE CENTRE
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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.

Naturopathic Treatment Intake Form:
Click on the image below to download a PDF version of our
​ 
Naturopathic Treatment Intake Form (Health History) ​(opens in new browser window):
Tri City Natural Health Form
Informed Consent to Treatment Form:
Click on the image below to download a PDF version of our 
​
Informed Consent to Treatment Form
:
(opens in new browser window):
Picture

Naturopathic Treatment Privacy Form
Click on the image below to download a PDF version of our
​ 
Naturopathic Treatment Privacy Form
​​(opens in new browser window):
Picture
Personal Contact Form
Click on the image below to download a PDF version of our
​ Personal Contact Form 
​
(opens in new browser window):
Picture
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  • Home
  • Forms
    • Chiropractic Care Forms
    • Massage Therapy Forms
  • Contact Us