Dr. Nicole Daniels, ND, MSc, Maple Naturopath ND@Home
Home
About
Naturopathic Medicine
Naturopathic Treatments
Acupuncture
Contact
Treatments Programs
Women's Health and Fertility
Anxiety and Depression
Chronic Pain and Fatigue
Skin Issues and Acne
Digestive Issues and IBS
Weight Loss
Hypothyroidism
Pregnancy Care
Forms/Fees
ND Blog
Naturopathic Intake Forms
For your first Naturopathic appointment, please complete the initial intake form, symptom check list and consent form
Adult initial intake form
Consent form
Symptom Checklist
For pediatric appointments, please refer to the forms below. For children under one, please use the baby form. For children 1-12, please use the child form. For children 13 and over, please refer to the adult initial intake form.
intake form - baby
intake form - child
Naturopathic Fees
Adult Initial Consultation -
90 minutes
- $180.00
Follow-up appointment -
60 minutes -
$150.00
Follow-up appointment -
30 minutes -
$75.00
Acute appointment -
15 minutes -
$45.00
Pediatric appointment -
45 minutes -
$90.00
Iridology and Reiki appointments priced according to time.
NOTES:
Phone, email and skype are available for follow-up consults
Direct billing to insurance companies
Please note that appointments cancelled less than 24 hours will be charged a $40 cancellation fee as per clinic policy
Home
About
Naturopathic Medicine
Naturopathic Treatments
Acupuncture
Contact
Treatments Programs
Women's Health and Fertility
Anxiety and Depression
Chronic Pain and Fatigue
Skin Issues and Acne
Digestive Issues and IBS
Weight Loss
Hypothyroidism
Pregnancy Care
Forms/Fees
ND Blog
maple naturopath forms and fees