Dr. MacAdam & Associates
  • Services
    • Chiropractic >
      • Techniques and Therapies
      • Custom Orthotics & Footwear
    • Massage Therapy >
      • Massage Therapy Treatment Options
    • Naturopathic Medicine >
      • Vitamin & Nutrient Injections
    • TCM Acupuncture
    • Yoga
    • Mental Performance
  • Book An Appointment
  • Patient Intake Forms
    • Chiropractic, Massage & Acupuncture
    • Naturopathic >
      • Adult Intake Form
  • Meet Our Team
    • Chiropractors >
      • Dr. Katherine MacAdam, BScKin, DC, MSc, ACC, FCCSS(C).
      • Dr. Maggie McKeough BSc, DC, Medical Acupunture
    • Massage Therapists >
      • Laura Dwyer, RMT
      • Cassie Hilani, RMT
      • Adam Blackwood, RMT
      • Morgan Nearing-Deveaux, RMT
    • Naturopathic Doctor >
      • Dr. Cassandra Connolly, BSc, ND
    • Acupuncturist >
      • Nicole Stallard, RAc, DAc
    • Reception Staff
  • FAQs
  • Contact
  • Gallery
  • Videos
  • Excercises

Dr. Cassandra Connolly
​Adult Intake Form

Fees
New Patient Appointment  $210
60 minute Appointment $165
45 minute Appointment $135
30 minute Appointment $100
15 minute Appointment $65
Injections $25-50

Laboratory Services
 
DUTCH Complete Hormone Testing $525
DUTCH Adrenal Testing $ $300-$625
DUTCH Menstrual Cycling Testing $ 625
IgG Food Sensitivity Testing- $300- $425
SIBO Testing $175
GI Map (Digestive) Stool Testing $600
Carroll Testing (Food Sensitivity Testing) $115
Vitamin D Blood Test $120

Cancellation Policy

Failure to show up for scheduled appointment: Full Fee
Appointment cancelled within 24 hours of appointment: Half Fee
This fee is to cover the practitioner’s time, as these appointment slots will not be filled by other patients in need or on the waiting list.
A minimum of 24 hours is required for the cancellation of an appointment in order to facilitate the filling of this spot with another patient.
While we do make every effort to contact patients in the days preceding their appointments, this confirmation should not eliminate the responsibility of the patient to take note of and attend their appointments.
If you need to cancel an appointment, please leave a message on our voicemail at (902) 407-3347 or speak with the receptionist.
We appreciate your understanding and cooperation.

    Intake Form 
    Please note that this intake form will take time to complete accurately. This form also requires the entry of a 3-day Diet Diary. You may scroll down to the bottom of the page to see the requirements of this diary before completing.

    Insurance

    Credit Card 
    In order to direct bill your insurance company on your behalf we require a credit card be left on file.


    Current Health Issues

    List in order of importance other health problems that are troubling you.
    Which of the following do you currently use?
    Please indicate:
    - The amount
    - Frequency
    - How long you have been using
    Ailments (please indicate if you've experienced them in the past, present or both)

    Digestion

    General Health History

    Reproductive

    Female

    Male

    Kidney and Bladder

    Environment


    Diet Diary
    Please write down everything you ate and drank (with portion sizes) in the past 3 days. Please be honest and as accurate as you can in your recording. Hovering your mouse over the question mark icon will give you further instructions if you need it. 

    Please indicate what you ate and drank for Breakfast, Lunch, Dinner and Snacks
    Please indicate what you ate and drank for Breakfast, Lunch, Dinner and Snacks
    Please indicate what you ate and drank for Breakfast, Lunch, Dinner and Snacks
Submit
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  • Services
    • Chiropractic >
      • Techniques and Therapies
      • Custom Orthotics & Footwear
    • Massage Therapy >
      • Massage Therapy Treatment Options
    • Naturopathic Medicine >
      • Vitamin & Nutrient Injections
    • TCM Acupuncture
    • Yoga
    • Mental Performance
  • Book An Appointment
  • Patient Intake Forms
    • Chiropractic, Massage & Acupuncture
    • Naturopathic >
      • Adult Intake Form
  • Meet Our Team
    • Chiropractors >
      • Dr. Katherine MacAdam, BScKin, DC, MSc, ACC, FCCSS(C).
      • Dr. Maggie McKeough BSc, DC, Medical Acupunture
    • Massage Therapists >
      • Laura Dwyer, RMT
      • Cassie Hilani, RMT
      • Adam Blackwood, RMT
      • Morgan Nearing-Deveaux, RMT
    • Naturopathic Doctor >
      • Dr. Cassandra Connolly, BSc, ND
    • Acupuncturist >
      • Nicole Stallard, RAc, DAc
    • Reception Staff
  • FAQs
  • Contact
  • Gallery
  • Videos
  • Excercises