Pacifica Naturopathic Clinic | 2468 Haywood Avenue, West Vancouver, BC V7V 1Y1 | T: 604.922.4074 | F: 604.922.4075 |


To save time on your first visit, please download and print the correct intake form. Please fill in this form to the best of your ability, sign the consent and bring everything with you to your first appointment.

Adult Intake Form (13 years and up)
Pediatric Intake Form (0 to 12 years)