Patient 
Printable

Forms

Any of the forms below can be printed and filled out at home to bring with you to your first appointment to help save you time!  Have questions please let us know.  All forms available at the front desk on arrival as well- please allow 15 minutes before your scheduled appointment time to fill out the required documents as treatment cannot begin without their completion.

New Patient Personal Information Form* (required for New Patient)

Are you a new patient to the clinic? Print and fill out this sheet to bring with you to your first appointment.

New Patient Privacy Statement*(required for new patient)

New Patient Consent Form*(required for new patient)

After reading the Privacy Statement please sign the consent form which you can bring with you to your first appointment.  NOTE: New patient information and consent form must be filled out and signed before any treatment can begin.   

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(902)883-7624

(902)883-7473

269 Highway 214 Unit 145 Elmsdale, NS B2S 1K1

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