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New Patients

Once you have booked your initial visit, please download the required forms below and take a few minutes to fill them out. You will need to bring these completed forms with you to your initial visit. 

Also, please bring in copies of any recent bloodwork results as well as any medications/supplements you are currently taking.

Appointment with Dr. Bender ND

Adult Intake Form
File Size: 259 kb
File Type: pdf
Download File

Pediatric Intake Form
File Size: 269 kb
File Type: pdf
Download File

Payments -  

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We accept debit/Interac, cash, and cheques.

Home - About Us -  Dr. John Bender  BSc ND - Our Staff - Services - About Naturopathy - Acupuncture - Botanical Medicine 
  Dietary Plans - Homeopathy - Lifestyle Counselling - Nutrition and Supplements -  Our Pharmacy - Patient Corner - Resources 
Patients Forms and Info -  FAQs - Naturopathic Oath -  Contact Us - Blog

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