Vancouver Island Naturopathic Clinic
Book an Appointment: Click here or Call: 250.881.1806
 
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      • Other Health and Wellness Practices at Our Location
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  • Services
    • Naturopathic Medicine
      • Naturopathic Therapies
      • Women's Health
        • Pregnancy
        • Menopause
        • Postpartum Depression
        • Breastfeeding Support & Counselling
        • Vitamin Therapies & Heavy Metal Chelation
        • Anti Aging
      • Children's Health
      • Infertility
      • Men's Health
        • Allergies
      • 55+ Health
        • Cardiovascular Health
        • Vitamin Therapies & Heavy Metal Chelation
        • Anti-Aging
        • Allergies
      • Food Sensitivities, Intolerances and Environmental Allergies
      • Weightloss
        • First Line Therapy Weightloss Program
      • IV and Injectable Vitamins & Chelation
      • Laboratory Testing
      • Clinic Dispensary
    • Massage Therapy
      • Headaches
      • Massage for Pain and Tension
      • Prenatal Massage Therapy
      • Sports Massage
    • Acupuncture
      • Facial Renewal Acupuncture
      • Fertility Acupuncture
      • Pain & Injury
      • Prenatal Acupuncture
      • Women's Health
    • Corporate & Group Wellness
    • Patient Dispensary Online Order
  • Resources
    • Forms
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    • Patient Resources
  • Contact Us
    • Clinic Hours
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Resources
  • Forms
  • Health Related Links
  • Patient Resources

Forms

Files / In-take Forms
  • Adult Naturopathic Patient Intake Form 14 years+
  • Acute Naturopathic Intake Form
  • Child Naturopathic Patient Intake Form (2-13 years)
  • Infant Naturopathic Patient Intake Form (0-23 months)
  • Registered Massage Therapy Intake Form
  • Acupuncture Patient Intake Form
  • Registered Clinical Counselling Intake.pdf
  • Naturopathic Labour and Delivery Worksheet
  • Women's Fertility Intake Addition (addition to adult intake)
  • Men's Fertility Intake Addition (addition to adult intake)
  • Women's Health Patient Addition (addition to adult intake)
  • Prenatal Intake Addition (addition to adult intake)
 

Contact Us


Vancouver Island Naturopathic Clinic
204-4480 West Saanich Road
Victoria, B.C. V8Z 3E9
250.881.1806 | reception@islandnaturopathic.com

Monday & Wednesday: 12 pm - 8 pm
Thursday: 9:30am - 8 pm

Tuesday, Friday & Saturday: 9 am - 5 pm
Sunday: Closed

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