New Patient Forms

Select the appropriate intake form below.

For your convenience, you can print these forms, fill them out and bring them with you to your appointment. Alternatively, you can give us a call at (705) 726-0923 and we can email you the intake forms to complete online.

Note: Complete the Pediatric Intake Form for children under 12 years of age.

Naturopathic Intake Form


Intake Form


Intake Form

Dr. Melyssa Hoitink, ND

The Lakeside Clinic

Phone: (705) 726-0923



570 Bryne Dr., Unit F

Barrie, Ontario, Canada

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© 2019 by Dr. Melyssa Hoitink, ND