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In Good Hands

Medical History

Our first appointment together...


Dear New Patient,

Thank you for your interest in osteopathy. Our first appointment together will be of a 45 minute duration which will include filling in your Medical History form. For your convenience, I have included this form for you to print and fill in. To maximize our time together I encourage you to complete it prior to our initial appointment however if you are unable to do so, this can be done at the clinic.

Depending on what your objectives are, initial evaluations can be done in a relatively short period of time. For more chronic and serious problems, an initial assessment may take longer. Doing a proper assessment is critical to establishing a plan of care that will not only address your symptoms but most importantly, help define the root cause.

Please wear loose fitting, comfortable clothing to the appointment and be prepared that you may receive hands on treatment within your first visit

Should you have any questions about osteopathic manual treatments or this intake form, please do not hesitate to contact me via email at:

I look forward to working with you and for you.

Danielle Larocque, DOMP – RMT