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INTAKE FORMS

 

Please print out the Intake Form and fill it out completely. You can bring it with you to your first office visit.

ADULT INTAKE FORM - PDF Version or MS Word download

CHILD INTAKE FORM - PDF Version or MS Word download

 

 

250 383-7664
35 Cambridge St. Victoria, BC V8V 4A7
Ocean@CelinaLyons.com