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Health History

We offer our paperwork on line so you can complete it in the convenience of your own home. Here are the essential forms we use and why we need them.

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Naturopathic Adult Intake Form

This let’s us know about your health history.

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Naturopathic Child Intake Form

This lets us know about your child’s health history.

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Naturopathic Nutrition Intake

This informs our Naturopath of your current nutritional history.

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Naturopathic Cosmetic Acupuncture Intake

This informs our Naturopath of your current current cosmetic concerns and will assist with determining the right treatment plan.

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Chaparral Chiropractic Wellness Centre | (403) 201-9991