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New Patient Forms

Below is the new patient paperwork you will need to complete prior to your first visit.  You can print them and bring them with you to your appointment or email them to us and we will have them on your file for you.

All patients need to complete Patient Information:

As well as the form for any practitioner you are seeing:

If you would like us to direct bill your insurance we will require the following forms:

So Many Forms!

Full Service Edmonton Health & Wellness Clinic. Serving Glenora, Oliver, West Edmonton & Downtown *just off Jasper Avenue on 124 St – free parking

It is our vision to empower individuals and families in our communities to restore and maintain optimum health. We know that clarity fuels momentum to health and that alignment within your mind, body, and purpose fosters human excellence.