White Lotus Naturopathic Clinic of Toronto, located at 18 Greenfield Avenue, Suite 201 North York, ON M2N 3CB, Canada and can be reached by phone at 416-730-8218
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New Patient Forms and Downloads

Please feel free to download, print and fill in these forms, and bring them along with you to your first visit. All patients should fill in the declaration form as well as the intake form suited to your visit.

  • General New Patient Intake Form
  • Women's Health New Patient Intake Form
  • Fertility Program New Patient Intake Form
  • Pregnancy/Prenatal Intake Form
  • Weight Management Intake Form
  • Children's Health New Patient Intake Form
  • Declaration and Consent to Treatment (The Legal Stuff)

Fertility and Women's Health (Available to anyone)

  • Basal Body Temperature Chart in Celsius
  • Basal Body Temperature Chart in Fahrenheit
  • Instructions for Ovulation Prediction Tests

Metabolic Health (Available to anyone)

  • Strength and Conditioning Program
  • Glycemic Index of Foods (7 pages)
  • First Visit
    • Patient Forms
  • Our Doctors
    • Dr. Fiona McCulloch
    • Dr. Jacqueline Lubina
  • Treatments & Diagnostics
    • Naturopathic Therapies
    • Facial Acupuncture Renewalâ„¢
    • Laboratory Diagnostics
  • Fertility Programs & Info
    • Fertility Programs Overview
    • Natural Fertility
    • IVF/IUI Support
    • What does my BBT chart mean?
    • Acupuncture and Fertility
    • Stress and Infertility
  • Women's Health
    • Endometriosis
    • Polycystic Ovarian Syndrome
    • Healthy Pregnancy Program
    • Menopause Program
  • Weight loss & Metabolism
  • Fees And Insurance
  • Location
  • Contact Us

Our Doctors

  • Dr. Fiona McCulloch
  • Dr. Jacqueline Lubina
  • Dr. Fiona's Blog
  • Follow DrFionaND on Twitter

Helpful Links

  • About the Clinic
  • Laboratory Testing
  • Patient Forms & Downloads
  • Directions to the clinic
  • Hours and Fees
  • Contact Information
  • Links
  • Fresh Wheatgrass
White Lotus Naturopathic Clinic 18 Greenfield Ave, Suite 201
North York
Ontario, Canada, M2N 3C8

416-730-8218

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