Progress Exam Form

To help ensure that we are on track toward achieving your health goals, please tell us what types of changes you are experiencing as your body begins the natural healing process.

YOUR WELLNESS GOALS

Your initial health goals for care were:

How would you rate your progress toward those goals so far?

HOW ARE YOU DOING?

Tell us about any changes that you have noticed since beginning care:

YOUR HEALTH PROGRESS

OFFICE EVALUATION

We constantly strive to make our best even better for you and your family. Your feedback is important and appreciated!

HOW ARE WE DOING?

How would you rate our doctor(s) on the following?

How would you rate our staff on the following?

PRACTICE FEEDBACK

SUPPORT & REFERRALS

If you are experiencing positive results, please help spread the message!

Our practice grows through work of mouth and referrals.

If you have loved ones experiencing health problems, please tell them about your experience and / or list them below.

Thank you for helping us make a positive impact on our community!

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Office Hours

Sunday: 9:30a - 1:30p

Monday: 9:00a - 12:00p, 1:00p - 3:00p, 4:00p - 6:30p

Tuesday: 9:00a - 11:00a

Wednesday: 9:00a - 1:00p, 3:00p - 6:00p

Thursday: 1:30p - 3:00p. 4:00p - 7:30p

Friday: 9:00a - 1:30p

Contact Info

3178 Bathurst Street

Email: [email protected]

Telephone: (416) 782-1462

3178 Bathurst St, North York, ON M6A 2A9, Canada

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