Intake Forms

Intake form downloads for new patients

 Please click on a link below for the appropriate new patient Intake Form. Print, complete and fax or mail it to Sage Clinic in advance of your appointment.

(Requires Acrobat Reader)

Vancouver Forms

• Sage Clinic Vancouver Naturopathic Intake Form
• Naturopathic Pediatric Intake Form (Birth to 5 years)
• Naturopathic Pediatric Intake Form (6 to 12 years)
• 12 Month Return Visit Update Form

Victoria Forms

• Sage Clinic Victoria Naturopathic Intake Form
• Naturopathic Pediatric Intake Form (Age 12 and under)
• 12 Month Return Visit Update Form