Forms & Policies

Forms & Policies 2020-10-09T15:16:12-06:00

Note: please save these PDF forms to your computer before filling them out.

Naturopathic Medicine Forms:

Adult Intake Form Download PDF
Pediatric Intake Form Download PDF
Diet Diary Download PDF
Adolescent Addendum Download PDF

Medical Doctor Forms:

Migraine Disability Assessment Test Download PDF
Patient Health Questionnaire Download PDF
World Health Organization Disability Assessment Download PDF
Headache Impact Test Download PDF
Headache Diary Download PDF
Sheehan Disability Scale Download PDF
Generalized Anxiety Disorder Scale Download PDF

Payment

At Aspire Medicine we are happy to submit to many benefits providers on your behalf. (Please note: We cannot guarantee the amount each provider will cover) We accept Cash, Cheque, Debit, Visa & MasterCard.

Cancellation Charge

We require 24 hours notice for canceled or rescheduled visits. If less than 24 hours notice is given, the full cost of the scheduled visit will be charged. Aspire Natural Medicine appreciates your understanding on this matter.

New Patients

If you have booked your initial consultation at our clinic, we need to receive your intake forms at the office 1 week prior to the initial consultation. You can send these via fax, email, or drop them off. If we do not have forms in our office 1 week prior to the visit it will be canceled and filled with another patient.

Call to book your appointment today!