Naturopathic Family Health Care:
Patient Intake Forms

Offered by our team of Naturopathic Doctors, Tracy Gilbert, Carine J. Lafrance, & Sylvia Marasco.

Intake Forms (in pdf format)

Please print off and fill out an intake form before your appointment. If you have any questions about the forms or need any help filling them out, please call us at (705) 969-0043.

• Adult Intake Form (ages 13+)
• Child Intake Form (ages 6-12)
• Pediatric Intake Form (birth to 5 years)