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Forms

Your Intake Forms will be sent to you via email.   It is preferred you complete them in this manner as it will upload into your medical record.  If you are not comfortable with filling out forms online, please click on the intake form below.  You can mail, drop off, or fax this to Hannah Snider MD (c/o True Wellness Integrative Health Centre) (Fax: 519-745-1605).

 

1.  Virtual Care CONSENT Form (required for all appointments at this time)

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2. Initial Patient Intake Form (alternative to online intake form)  

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3.  Functional Medicine Consent Form

(required prior to first Functional Med appointment)

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