New Patient Forms

Before your first appointment, please download and complete the appropriate “Intake” form from the list below, plus a “Weekly Diet Journal” (if possible, otherwise complete a “Two-Day Diet Journal”). Your answers will allow us to develop a program of treatment and support exactly suited to your needs.

Adult Intake

Adult Intake   |   Prenatal

Pediatric Intake


Two Day Diet Journal

Weekly Diet Journal


Welcome to Toronto Centre for Naturopathic Medicine (General Clinic policies)

Our Online Dispensary (Information on using our Online dispensary)

Personal Information and Privacy Policy


Doula Services Agreement   |   Du La, ND, Acupuncturist, Birth Doula

Doula Services Agreement   |   Jessica Dupont, ND, Birth Doula

Doula Services Agreement   |   Tehseen Meghji, ND, Birth Doula