new patients:  here's your chance to tell your life story!


Download
Intake Forms (18 years and up)
This is where you can talk all about yourself, your health history and your goals. Send it ahead of time or bring it to your first visit.
SCFH Adult Intake Form.pdf
Adobe Acrobat Document 420.8 KB
Download
Consent Form
Please fill this out and bring to your first visit.
SCFH Consent Forms.pdf
Adobe Acrobat Document 832.7 KB

kids have stories too: intake forms for the younger crowd


Download
Child Intake Forms (0-17 years old)
This is a fun one for mom or dad to fill out. Get out the kleenex as you reminisce about a whole bunch of important details from pregnancy and beyond. Bring to the visit or send it ahead of time as this form helps to focus the visit on your kid and not on paperwork.
SCFH Pediatric Intake Form.pdf
Adobe Acrobat Document 380.0 KB
Download
Consent Form
Please fill this out and bring to your first visit.
SCFH Consent Forms.pdf
Adobe Acrobat Document 832.7 KB

Community Acupuncture Intake


Download
Intake Form for Community Acupuncture
This is your go-to form if you are just accessing the clinic for acupuncture. If you've already filled out a full intake, don't worry about this one.
Spring Chicken Family Health FIN-01.pdf
Adobe Acrobat Document 9.5 MB

 connect@springchickenfamilyhealth.com

 519-546-0619

 8820 Wellington Rd 124| Erin| Ontario | Canada