Natural Child Health


Natural Health Clinic Forms

If this is your first visit with Dr. Bailetti, please download the form that corresponds to your the type of visit you have requested. For vaccine consult visits, the Vaccine Consult Consent Form must be signed and returned by fax to (647) 436-9449 (or scan and email the form to admin @ drbailetti . com ) before your appointment will be confirmed.

Vaccine Consult Visit - download form and fax back consent

Vaccine Consult and Support Visit - download form and fax back consent (last page only) and bring remainder of completed forms to the visit.

Initial Naturopathic Visit - download form and bring completed forms to the visit.

 

 

"Natural forces within us are the true healers of disease."

~ Hippocrates

 

 

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