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

Pediatric

Intake Form

Acupuncture

Intake Form

Dr. Melyssa Hoitink, ND

The Lakeside Clinic

Phone: (705) 726-0923

Email: info@thelakesideclinic.com

Location:

570 Bryne Dr., Unit F

Barrie, Ontario, Canada

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© 2019 by Dr. Melyssa Hoitink, ND