Niagara Naturopathic Doctors
289-271-2788
4161 Portage Rd, Niagara Falls ON L2E6A2
  • Home
  • BOOK ONLINE!
  • Our Team
    • DR. FIGUEROA ND
    • DR. LETOURNEAU ND
    • DR. MACKIMMIE RN ND
    • AMY RIDDICK, Physiotherapist
    • TANA THOMPSON, Registered Massage Therapist
  • Services
    • Naturopathic Medicine
    • Fertility Check-Up Program
    • Fertility Enhancement Program
    • Intravenous Therapy "Vitamin Drip"
    • Tests
    • Physiotherapy
    • Registered Massage Therapy
    • Thermography
  • Patient Forms
    • Naturopathic Adult Intake Form
    • Naturopathic Child Intake Form
    • Women's health & fertility questionnaire
  • Conditions We Treat
  • Service Fees
  • Nutritional Supplements
  • Contact Us
  • Niagara Natural Fertility

Patient Intake Forms

Click on the type of form you would like to fill out below:
Naturopathic Adult Intake Form
Naturopathic Child Intake Form
Women's Health & Fertility Questionnaire

Direct Billing Forms

Please print and fill out the forms below if you would like us to bill your insurance directly:
Direct Billing Consent
File Size: 114 kb
File Type: pdf
Download File

Direct Payment Consent
File Size: 106 kb
File Type: pdf
Download File

Niagara Naturopaths - Hart & Sol Integrative Healthcare