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2113885 Duke of York Blvd., Mississauga ON L5B 0E4 T:(905)2766800 F:(905)2766802 ADULT INTAKE FORM Name: (First) (Last) Date of Birth: (Y/M/D) Date: Sex: F M Address: Apt # : City: Province: Postal
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How to fill out Natura Wellness Clinic:

01
Start by downloading or picking up a copy of the Natura Wellness Clinic intake form. This form will typically ask for basic personal information such as your name, contact information, and date of birth.
02
Next, provide information about your medical history. This may include any pre-existing conditions, allergies, or medications you are currently taking.
03
Indicate if you have any specific health concerns or reasons for seeking treatment at Natura Wellness Clinic. This will help the clinic tailor their services to meet your needs.
04
If you have any prior experience with alternative therapies or holistic practices, mention them on the form. This will give the clinic a better understanding of your background and preferences.
05
If you have any preferences for practitioners or specific treatments, make sure to mention them on the form. Natura Wellness Clinic may have a variety of practitioners available, such as naturopaths, acupuncturists, or massage therapists, so it's helpful to indicate your preferences.
06
Finally, sign and date the form, indicating your consent for treatment and acknowledging that the information you provided is accurate.

Who needs Natura Wellness Clinic?

01
Individuals seeking a holistic approach to healthcare may benefit from Natura Wellness Clinic. This clinic typically offers alternative therapies, such as naturopathy, acupuncture, and herbal medicine, which focus on treating the whole person rather than just the symptoms.
02
Those looking for personalized treatments that consider their unique health concerns and goals may find Natura Wellness Clinic to be a good fit. The clinic aims to provide individualized care and tailor treatments to each patient's needs.
03
People who have not found satisfactory results from conventional medical treatments or are interested in exploring complementary therapies may be interested in Natura Wellness Clinic. The clinic's practitioners often use a combination of traditional and alternative approaches to address various health issues.
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Natura Wellness Clinic is a holistic health center that offers a variety of services such as acupuncture, massage therapy, herbal medicine, and nutritional counseling.
Natura Wellness Clinic owners or operators are required to file the necessary paperwork for the clinic.
To fill out the necessary paperwork for Natura Wellness Clinic, owners or operators must provide information on services offered, staff credentials, and contact information.
The purpose of Natura Wellness Clinic is to provide holistic health services to individuals seeking alternative and complementary therapies.
Information such as services offered, staff credentials, contact information, and any relevant certifications must be reported on Natura Wellness Clinic.
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