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Forms

Please click on link below to download the correct form to bring in, filled out for your first consultation.

Adult Intake Form
Child Intake Form (for children under the age of 16 years)

Download Adobe Acrobat


Disclaimer: The goal of this website is to inform patients and potential patients on the benefits of Naturopathic Medicine. It is not to be considered as medical advice without a physical exam, medical history and appropriate laboratory work up. Dr. Reina Persaud, BSc, ND does not assume any responsibility of how the information on this site is used.
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