NEW INTEGRATIVE AND NATUROPATH PATIENT QUESTIONNAIRE.
This questionnaire does NOT need to be completed if you are seeing a non-integrative General Practitioner.
All patients seeking Integrative or Functional health care are requested to contact the clinic to organise an appointment. This may mean that you are placed on a wait list. Once you have spoken to Northside please complete the "New Patient Questionnaire" (below) prior to your first appointment.
This includes anyone booking in for:
Integrative or Functional Medicine Doctor (Dr Jane Chapman)
Naturopath (Anne-Marie MacDonald)
Please click and download the document to your computer, save it with your (patient) name, then type your answers in the "grey" text boxes provided.
Do NOT complete this questionnaire unless you have an appointment or have been placed on the wait list.
When you have finished, please save it again and email back to the clinic at least 2 days prior to your appointment.
Email address is:
Please write in the email subject line the patient's name and "NPQ".
PHYSIOTHERAPY/OSTEOPATHY New Patient forms:
VITALITY VISIT (NATUROPATH BRIEF CONSULT) form: