New Patient Forms

Three Locations to Serve You!

Madawaska Valley:
Foundation Stone Medicine
865 Letterkenny Road, Box 42
Quadeville, Ontario K0J 2G0
Tel: 613.334.9802

Bancroft:
Foundation Stone Medicine at
AK Chiropractic & Wellness Centre
241 Hasting St. N., Box 417
Bancroft, Ontario K0L 1C0
Tel: 613.334.9802

Barry’s Bay:

Foundation Stone Medicine
43 Dunn Street
Barry’s Bay, Ontario K0J 1B0
Tel: 613.334.9802

Please completed the new patient packet and diet diary below. You may email, fax, or hand deliver prior to your first visit so that we have time to review before the visit.

Adult Intake Forms

Diet Diary

Pediatric Intake Forms