INTAKE FORMS

Before your first visit, you will be required to fill out some intake forms.  You can download them here, or call the clinic at (613) 829-7100 to have the forms faxed or emailed to you.

To view and print these files, you must have Adobe Acrobat Reader installed on your computer.

We encourage new patients to bring all relevant laboratory reports to their first visit.

Intake Forms

 

Joel Lee Villeneuve, BSc, ND

business-card-joel-2010-11

   Welcome Information 

   Resources:

   Fee Schedule:

   Intake Forms: Comprehensive New Patient Visit

    Intake Forms: Food Intolerance Testing, Environmental Testing, Bowen, Acupuncture & Craniosacral

Jaclyn Smith, BSc, ND

Dr. Ian Anderson, DC

Dr. Sanford Siegel, PhD, OACCPP

  • Please contact Dr. Siegel for intake forms

Sharon Kader, BA (Psychology), MA (Applied Psychology)

  • Please contact Sharon Kader for intake forms

Policies:

INSURANCE: Currently OHIP does not cover either Naturopathic or Massage Therapy visits, but does partially cover Chiropractic. Many private insurance companies however, do cover the visits, so please check your individual plan.

CANCELLATIONS AND MISSED APPOINTMENTS: An appointment not kept means loss of valuable time and a spot that someone else in need may require.    A charge in the amount for your missed visit booked will be made unless 48 hours notice is given of cancellation.  The rescheduled or cancelled appointment must be received  by speaking directly to an Optihealth Front Staff member .

RECEIPTS: Please keep all of your receipts for insurance and income tax purposes. There is a $10.00 minimum reissuing fee for copies.

PAYMENT OF ACCOUNT: Payment of your bill is requested on the day of service. For your convenience, we accept cash, cheques, MasterCard and Visa.

LETTERS:  All letters are 10/page and require 5 business days to complete.

PHOTOCOPIES:  Photocopies up to 5 pages are included in each visit.  Any additional photocopies required are invoiced at 5cents / copy.

HOME DELIVERY: We offer home delivery services from our dispensary. Delivery charges are $5.00 for local areas and $10.00 and up for further distance areas. Credit card payment is required for all deliveries. For same day service, orders must be placed and prepared before 12:00 noon.

DISPENSARY ORDERS: Any requests for Special Orders ( Items we do not regularly stock) or requests to hold items for pick up must be pre paid at the time of request.

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