Dr. Gerann Murphy

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Home ›› New Patients ›› New Patient Forms

New Patient Forms

Please print and fill out the appropriate form, and bring it with you to your first visit. Please also bring all medications and supplements you are currently taking, and any relevant blood work and health reports (if you have copies).

Adult/adolescent intake form (14 + years)

Download File


Pediatric intake form (13 years and under)

Download File

Natural. Holistic.
Primary Healthcare.

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736 Arlington Park Place Kingston, ON K7M 8H9
T: 613.545.0454 | F: 613.545.2493
Hours: Mon-Thurs, 9:30am-4:30pm

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  • Home
  • About
  • Services
    • Therapies
    • Medical Testing
    • Intravenous Nutrient Therapy
    • Acupuncture
    • Hormonal Health
    • Gut Health
    • Emotional Health
    • Pediatric Care
    • Medical Detox
    • Wellness & Prevention
    • Conditions Treated
    • Dispensary
  • New Patients
    • New Patient Forms
    • FAQs
    • Fees
  • Contact