Medical Patient Forms

In order to limit the handling of forms and pens by both patients and clinic staff we ask that prior to your appointment, please complete the necessary forms and email them to our clinic at info@vanguardmedical.ca or submit the completed forms directly to us using the tool below. Thank you!

*Some forms may require you to download and print, to fill out.

New Patient Intake Form

Chronic Migraine Diagnostic Form

Chronic Migraine Prescription Form

New Patient Intake Form

Hyperhidrosis Prescription Form

Hyperhidrosis Diagnosis Form

Chronic Migraine Consent Form

Medical Patient Forms

Patient Demographic Sheet

Haircoach Consult Intake Form

CoolSculpting® Patient Intake Form

Submit Completed Forms Here: