You will need Adobe Reader to fill out the forms. If you do not have Adobe Reader, you can download it here. Please fill out the form(s) as completely as possible to save time prior to your initial appointment.
Please fill out this form if you are a new patient to the clinic:
In addition to the form above, please fill out the appropriate form below if you have a WCB Claim:
After you complete the form, please email the form as an attachment to firstname.lastname@example.org
If you prefer to print and fax the intake form to us instead, you may do so by faxing your completed form to (604)428-3007.
(Note: for MSP and ICBC there may be a user fee for services, please call the clinic for detailed information.)