Medical history

Download and complete our new patient intake forms..

Patient Intake Forms

Our new patient intake forms can be downloaded below.  Please proceed as follows:

  1. Click the download button below the intake form you wish to download.
  2. The form that was downloaded can be filled in electronically by clicking in the highlighted areas and typing.
  3. Once you have completed the form save it to your desktop. From here you have three options:
    1. Go to our APPOINTMENTS-General request page  or  APPOINTMENTS-Cancer request page
    2. Complete the appropriate New Patient appointment request then click the SELECT FILE button. This will open a window that allows you to select your completed intake form from your desktop and attach it to your appointment request (drag & drop file is also available). Then SUBMIT and we will receive both the appointment request and the accompanying intake form.
    3. Complete the intake form downloaded to your desktop then attach it to an email and send it to us at
    4. Complete the intake form downloaded to your desktop, print the document and bring it with you to your scheduled appointment.

If you have any questions bout this process, please give us a call at 604.888.8325.

Please note that the Aesthetics intake form is not be filled in electronically at this time. It will need to be printed, completed and scanned to email to be sent.

Cancer - New Patient Intake Form


Cancer - Patient Referral Form


Adult Naturopathic - New Patient Intake Form


Youth Naturopathic - New Patient Intake Form


Acupuncture - New Patient Intake Form


Aesthetics - New Patient Intake Form



Integrated Health Clinic
23242 Mavis Ave, Fort Langley, BC


Ph: 604.888.8325
Fx: 604.888.8365


Email from the Contact Us-Questions page.

Why come see us?

  • 16-Years in operation
  • 13-Naturopathic Doctors
  • 20-Admin/Lab support staff
  • 9-Departments encompassing a comprehensive scope of care
  • We practice evidence based medicine
  • We stress targeted & personalized treatment
  • We have caring & empathetic approach
  • We are proud of our professional & respectful staff

Our Operating Hours

  • Monday08:00AM - 8:00PM
  • Tuesday08:00AM - 6:00PM
  • Wednesday08:00AM - 8:00PM
  • Thursday08:00AM - 6:00PM
  • Friday08:30AM- 05:30PM
  • Saturday08:30AM- 05:30PM
  • SundayClosed

Laboratory services: Monday – Thursday: 9AM-6PM,  Friday & Saturday: 9AM-5PM