Completing Your Health Form
Please download and save the form onto your computer. Only use Adobe Reader to complete the form. If you do not have it installed on your computer, you may download the latest version free of charge from here.
Once the form is complete you can submit it by email using either of these methods:
- Using the submit button at the bottom of the form (you will be prompted to “Select Email Client” – choose the appropriate option and click “OK” – your Email will automatically open with the completed form as an attachment).
- Open your email client and insert the completed form as an attachment. Send to firstname.lastname@example.org
In addition, if you have any recent blood test results you may also email them to us at email@example.com
I look forward to helping you achieve your health and fitness goals, and will reach out to you shortly after you have submitted your form.
Naturopath, Health Educator
Nutrition & Exercise Specialist