Patient Intake Forms

Below are links to the clinic forms you will need for your first appointment. If you wish to email us a copy, please download the ".doc" version and send to lonsdalenaturopathic@shaw.ca or feel free to fill out the PDF form and bring it in with you.

Intake Forms for Dr. Gurinder Dayal's Patients

Adult Intake Form (.docx)

Adult Intake Form (PDF)

Pediatric Intake Form (.docx)

Pediatric Intake Form (PDF)

Intake Forms For Dr. Alexa Rauscher's Patients

Adult Intake Form (.docx)

Adult Intake Form (PDF)

Pediatric Intake Form (.docx)

Pediatric Intake Form (PDF)


Call and book your appointment today

Phone: (604) 987-1418

We are open from Monday - Saturday, 9:00 AM - 5:30 PM

Office & Doctor Hours


Dr. Gurinder Dayal

Tuesday - Wed 8am - 5pm
Thursday - 9am - 7pm
*Fri - Sat, 8am - 4pm
(One Fri & Sat a Month)


Dr. Alexa Rauscher

Tuesday - 11am - 8pm
Wednesday - 9am - 6pm
Friday - 9am - 6pm
Saturday - 9am - 5pm

Our Location


404 - 1200 Lonsdale Ave.
North Vancouver, BC
V7M 3H6


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