Your Appointment
Phone Reception Hours:
Mon - Fri 8:30am - 5:00pm
(604) 980-8885
Mon - Fri 8:30am - 5:00pm
(604) 980-8885
Intake Forms
** Please download the PDF forms (right click and save link as...) instead of opening the PDF in your browser, as it is possible for the data to get deleted or corrupted if you try to fill out form in the browser.
Alternatively you can print your forms, fill them by hand and scan or take pictures of them to upload your pictures into the patient portal before your appointment
Alternatively you can print your forms, fill them by hand and scan or take pictures of them to upload your pictures into the patient portal before your appointment
** To avoid your appointment time being taken up by logistics, fill out the form & upload it to your patient portal as soon as possible, no later than 48 hrs before your appointment.
** Due to COVID 19 All first appointments will be completed online. Any subsequent appointment that doesn't require in-person treatment will also be conducted online. The Dr. must first assess you and discuss which appointment style is most appropriate for your needs and the office's availability according to office and COVID policy.
A) INITIAL INTAKE FORMS ( Mandatory )
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ELECTRONIC FILLABLE FORMS
These forms are for downloading and filling out to upload to the patient portal.
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PRINTABLE FORMS
These forms are for printing and filling out, then you can take a picture or scan and upload to the patient portal.
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*We are working on gender neutral intake forms as our approach is fully inclusive and non-binary. Coming soon...
B) INFORMED CONSENT ( Mandatory )
| butterfly_naturopathic_informed_consent_2019.pdf |
C) FIVE DAY DIET DIARY (OPTIONAL)
This daily record helps you keep track of what you are eating, and helps you to discover which, if any foods, medicines, beverages, or other substances may be causing or contributing to your symptoms. Recording what you eat is not meant to be stressful. The relationship between what you choose to eat and your symptoms can range from simple to complex. Some foods which may be linked to allergic reactions in the body can manifest quickly or be delayed. Simply write down what you eat for a few days before your appointment. Don't try to impress us by eating impeccably during this time. We just want to get a sense of your normal diet, so that we can create a plan with you for the betterment of your overall health.
| five_day_diary.pdf |
Cancellation Policy
Notice of any cancellation or re‐scheduling must be given via phone during phone reception hours or changed from our online booking system with minimum 24 hours notice.
** Phone reception hours are listed on our website’s home page, located at the bottom of the page, and may be slightly different from our booking hours.
Emails and voice messages are not an acceptable form of communicating cancellations or appointment changes.
Failure to notify the clinic in less than 24 hours will result in a charge of 75% of your appointment fee and in the case of a scheduled treatment, the full cost of non‐reusable products prepared for that treatment.
Patients arriving more than 15 minutes late will forfeit their appointment and will be charged full price plus the cost of any non‐reusable products prepared for that treatment.
Patients failing to show up for their appointment will be charged full price plus the cost of any non‐reusable products prepared for that treatment.
** Phone reception hours are listed on our website’s home page, located at the bottom of the page, and may be slightly different from our booking hours.
Emails and voice messages are not an acceptable form of communicating cancellations or appointment changes.
Failure to notify the clinic in less than 24 hours will result in a charge of 75% of your appointment fee and in the case of a scheduled treatment, the full cost of non‐reusable products prepared for that treatment.
Patients arriving more than 15 minutes late will forfeit their appointment and will be charged full price plus the cost of any non‐reusable products prepared for that treatment.
Patients failing to show up for their appointment will be charged full price plus the cost of any non‐reusable products prepared for that treatment.
Payment
Payment methods available are, cash, credit card, debit card, e-transfer
Direct Billing is available for a variety of Extended Health Providers. Patients are responsible for managing their own insurance limits.
We do not guarantee coverage for any Extended Medical Plan. Patients are responsible for any amount not covered by their Extended Medical plans due immediately upon services rendered.
* Cheques are not accepted
Payment is due strictly at the time services are rendered.
Dispensary items must be paid for in full before leaving the clinic.
Direct Billing is available for a variety of Extended Health Providers. Patients are responsible for managing their own insurance limits.
We do not guarantee coverage for any Extended Medical Plan. Patients are responsible for any amount not covered by their Extended Medical plans due immediately upon services rendered.
* Cheques are not accepted
Payment is due strictly at the time services are rendered.
Dispensary items must be paid for in full before leaving the clinic.
