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Acupuncture New Patient Paperwork

If you are a new Acupuncture patient to our clinic, you are required to complete the paperwork prior to your initial visit.


Please print and complete these forms by clicking on the appropriate links below.


Please bring your completed forms to your initial visit.

Chiropractic Acupuncture


Adult Intake Form
Acupuncture Consent Form


Naturopathic Acupuncture


If you have already booked your initial visit you should have received a Welcome Email with instructions on how to complete your Intake information online for your visit. If you do not have email access please complete the form below and return to it to the office a minimum of 24 hours before your appointment so the doctor can review them prior to your visit.


Adult Health History Intake Form - age 14 & up


Norfolk Blog



Feb 2018

Practitioner Profile - Andrea Ruiter, RMT

by Marnie Kerr

Our profile series continues with Andrea Ruiter, RMT. Here are 5 things you probably don't know about Andrea! Read More >>


Jan 2018

Practitioner Profile - Dr. Tim Lodder

by Marnie Kerr

Our Practitioner Blog Series continues with a profile of Dr. Tim Lodder DC. Here are his answers to his "top 5" questionaire. Read More >>


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