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INTAKE FORM

Prior to your first osteopath or naturopath

visit at Aylmer Ostéo ND, complete the

intake form below (read all 4 steps).

1. Click the button below.

2. Download to your computer (by clicking ↓ on the top right). If you do not download first, it may save blank.

3. AFTER downloading, then fill out and save the filled out form to your computer.

4. Print or ideally email as an attachment to:

AylmerOsteoND@gmail.com

LOCATION 

10 Lortie Street

(corner of Lortie/Arbutus)

Gatineau (Aylmer). J9H 7E5

Tel: 819-800-1962

Free parking.

STO Bus #45.

CONTACT

Thank you / Je vous remercie

Aylmer Osteopathe Osteopath Naturopathe Naturopath

© 2025 AylmerOsteoND.com

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