An Integrative Approach to Optimal Health

Patient Forms

Balance Medical Center has uploaded its Patient Intake Forms to help you get started in the Program.

Please select the appropriate patient form from the list, download and print a copy. It is important that you complete this form to the best of your ability before your scheduled consultation so that you and the doctor can accomplish all that is required in the 60-minute appointment. It is also important that you complete all questions on the questionnaire to help the doctor become familiar with your medical history.

New Patient Forms

Female Patient Intake Questionnaire
Male Patient Intake Questionnaire

If you have any questions about how to complete these forms, please call us at 604.569.0488 or email us at info@balancemedical.ca.

Testimonials

Dr Verma is a caring, intelligent, and progressive physician with a passion for medicine. He takes the time to treat each patient as a whole and is adept at getting to the root of a problem instead of just treating the symptoms. I have referred many of my own patients to Dr Verma with confidence and I have received only positive feedback from doing so.
— Ateshia Walker, RMT