Helping you achieve a balanced body,
mind and spirit... naturally

51 Underhill Drive, Don Mills (Toronto) 
(416) 441-9222  info@balancedhealthcare.ca

New Patient Forms

Before being treated for the first time at Balanced Health Care, we need to know more about your medical history. Follow these links to download the forms that your healthcare provider will need. 


Please complete them at your leisure before coming in for your first appointment.
Forms for new Chiropractic patients
Download and complete the Adult or Child form
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Chiropractic New Patient Form - Adults & Adolescents
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Chiropractic New Patient Form - Children
Forms for new Massage Therapy patients
Download and complete all four forms
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Massage New Patient Form - All Patients, Page 1 of 3
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Massage New Patient Form - All Patients, Page 2 of 3
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Massage New Patient Form - All Patients, Page 3 of 3
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Massage - Consent for Sensitive Areas Form
Forms for Homeopathy patients
Download and complete either the Adult or Child form
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Homeopathic New Patient Form - Adults & Adolescents
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Homeopathic New Patient Form - Children
Forms for Naturopathy patients
Download and complete either the Adult or Child form, Consent Form, and System Review (3 in total)
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Naturopathy New Patient Form - Adult (1 of 3)
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Naturopathy New Patient Form - Child (1 of 3)
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Naturopathy Consent Form - All New Patients (2 of 3)
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Naturopathy System Review - All New Patients (3 of 3)