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Patient Forms


First time Naturopathic clients must complete a new patient form to give us an overview of patient history and symptoms. A pediatric intake form is necessary if the patient is a child.

To save time, please fill in your form before your initial consultation.
Pediatric Intake Form (0-12 years)
The above forms require Adobe Reader software. If you don't have a copy on your computer, you can download a free copy by clicking on the following image.

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Canadian Association of Naturopathic Doctors

To make an appointment with Dr. Roberts, please call:

Calgary Centre for Naturopathic Medicine
200-110 Point McKay Crescent NW
Calgary, Alberta T3B 5B4
403.270.9355