Book an Appointment is as Easy as 1-2-3

1. Download the Intake and Service Option Form

For all Routine Health and Digestive Health Services, the first step is to download the current Intake and Service Option Form (dated Jan 1, 2026) to your computer. This form outlines all services we provide and their respective costs.

For Therapeutic Diet Services, the first step before completing an Intake and Service Option Form is as follows
– For a 3:1 Therapeutic Ketogenic Diet, please read this page.
– For a 2:1 Therapeutic Ketogenic Diet, please read this page.
– For services for MCAS, hEDS, or POTS, please read this page.

Note: If you want a password-protected form, please email our office (email address is on the regular Intake and Service Option Form).

2. Complete the Form

The second step is to complete all the boxes on the form on your computer, tablet, or smartphone. For a Windows device, use the free Adobe Online tool, or for a Mac device, use Preview. 

Need help? Step-by-Step Instructions here.

NOTE #1: When you complete the form, please do not use a shaw.ca email address, as their third-party email client frequently bounces emails with attachments, making communication unreliable. 

NOTE #2: This form dovetails with our accounting and charting system, so please type your name on the signature line (do not use electronic signature features).   

3. Email Your Documents

The third step is to email your completed Intake and Service Option Form to the email address on the first page of the form (see picture below). Please be sure all boxes are completed.

NOTE #1: If sending Intake and Service Option Forms for more than one person, please send them in separate emails, with the relevant attachments.

NOTE #2: Since this form dovetails with our accounting and charting system, please do not scan the form before sending it.

Lab work must be received before booking services.

Privacy Policy | Terms of Use