Intake Form Instructions

You must have Acrobat Reader installed to view, print and fill out these files. Click on the “Get Adobe Acrobat Reader” image to safely download the latest Acrobat Reader.

Patient Intake Forms

Please download the form that pertains to you, fill it out and send it back to us at info@optimumwellnessclinic.ca This saves both yourself and our staff time and we really appreciate it!

Alternatively, you can print it, fill it out by hand and bring it with you to your initial appointment.

Concerned about confidentiality? Please read our Privacy Policy 

Get Adobe Reader
conditions treated naturopathic medicine-herbs with pestle