Edmonton Clinic of Naturopathic Medicine
11309-100 Avenue NW
Edmonton, AB
T5K 0J3

Phone 780 756-7020
Fax 780 756-7021

Clinic Email naturopathicmedicine@shaw.ca

 

Forms

PDF: Health History Questionnaire Form > (Adobe PDF) > Download <

PDF: Informed Consent (Adobe PDF) > Download <

 

 
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"I will strive to inspire and educate you the Patient, to bring about your own health,
and elevate your quality of life." -Dr. Dacyshyn