Dr. Pearman
Naturopathic Services

Dr. Pearman will complete an intake and patient history with you during your appointment.  Office staff will ask you to confirm your information when you arrive.

Valerie Plante
Acupuncturist/Doula

Please print the form, fill it out and bring it in with you when you come in for your first appointment.  Please wear loose fitting clothing.

• Acupuncture Intake Consent Form

Dr. Han Ping Helen Cen
Naturopathic Services

Please choose the form that corresponds to the age category of the patient and print the consent form as well.  Fill them out and bring them in with you to your appointment.

• Pediatric to15 Years Old – Intake and Consent Form
• 16 Years Old to Adult – Intake and Consent Form

Melanie Parsons HHP
Holistic Health Practitioner

Please print the form that corresponds to the treatment you have scheduled.  Fill the form in and bring it to your appointment.

• Jade Intake Form
• Hot Stone Treatment Intake Form

Marla Grant
Osteopathic Manual Therapist

Osteopathy Intake Form

Intake and Consent Form Link Above – Please download, print, fill-in and bring to your appointment.  Alternatively, you can come early for your appointment and fill-in a hardcopy here in our waiting room.

To schedule an appointment please telephone our office and our administrative staff will be very happy to assist you:  Our number is:  (780) 414-1466.

Carissa Barke
Registered Massage Therapist

Massage Intake and Consent Form

Intake and Consent Form Link Above – Please download, print, fill-in and bring to your appointment.  Alternatively, you can come early for your appointment and fill-in a hard copy here in our waiting room.

There are two ways to schedule appointments, by telephone or through online booking.

To schedule an appointment by telephone, call:  (780) 414-1466

Alternatively, to schedule an appointment through online booking, please go to:  www.carissabarke.com

Lourdes Nunes     RMT     MMTA
Registered Massage Therapist

Lourdes Massage Intake Form Updated April 2024