homethe clinicmassagereflexologypatient formscontactfaq
home massage reflexology patient forms the clinic contact faq

Patient Forms

If this is your first visit to our clinic, please
take some time to fill in our new patient
health history form to bring with you to
your appointment.

We are able to bill on your behalf for the
following insurance companies:
GreatwestLife, Greenshield, Standard
Life and Industrial Alliance. Now able to
direct bill Sun Life & Manulife.

If you wish to be set up on direct billing
please download the appropriate forms and
take note of the following instructions:

1. Please make sure to bring a copy of your
insurance card and a credit card with you
to your appointment.

2. Select the Natural Approach Direct
Billing Information Form, read, and sign.

3. Select and print the Natural
Approach Consent Form. Sign and date.

Massage Health History
Reflexology Health History
Direct Billing Information Form
Natural Approach Consent


Schedule today 905 817 9500 63 Queen St S. #10 Mississauga ON L5M 3S9