Patient Forms

We would like to get to know you!

Please print or fill out the appropriate form that matches your health care provider.

Once you have completed the form, you can save it electronically and email it to us before your appointment, or you can print it out and bring it with you.

Dr. Lo Adult Intake Form

Dr. Lo Pediatric (Birth – 5 yrs.)

Dr. Lo Pediatric (6 – 12 yrs.)

Sandi Seto Intake Form

Dr. Mazurin Intake Form

New Patient Agreement

If you have any questions regarding the forms, please contact our office at 403.247.8003. We will be pleased to help you.

Calendar

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Our Newsletter!

The Centre for Integrative Wellness offers a monthly newsletter with natural health tips and ideas. Visit our News Section to sign up to receive our regular information via email.

Address

#202 4411-16 Ave NW, Calgary, AB
Phone: (403) 247-8003
Fax: (403) 286-4767
Website: www.integrative-wellness.ca
Email: reception@integrative-wellness.ca

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