Forms & Fees


Intake Forms are automated and emailed at appointment time




Service Fees
 
SERVICE PRICE
First Doctors Visit (60 min) $180.00
Sensitivity and Toxicity Testing (SAT) $180.00
Total First Visit Price $360.00
Return Doctors Visit (30 min) $90.00
B12 Injections $25.00
Sensitivity and Toxicity Testing (SAT) $180.00
Miscellaneous Tests & Services Inquire
Cancellation Fee
(With 3 Full Business Days Notice)*
No Charge
 
Cancellation Fee
(Less than 3 Full Business Days Notice)*           
1/2 service price
 
Cancellation Fee
(Day Of Appointment)
Full service price
 
Missed Appointment Fee
New Clients who miss cannot be rebooked
Full service price
 
 
Please Note: All new clients seeing Dr. Julie Mardian ND are required to have the SAT testing with the first visit for a total cost of $360. Any prescribed remedies are optional to purchase and will be charged extra. Since covid we communicate exclusively via email and cannot take new clients that do not have access to internet or email. Due to our waiting list we cancel appointments if we do not receive confirmation of attendance 48 hours after our reminder notices are sent out. Confirmed appointments not attended are chargeable at the full service fee and must be paid before a new appointment can be made.

 

*To avoid a late fee re-books or cancellations should be made three business days (Monday-Friday) prior to the appointment time.

 


 
We accept Cash, Debit or e-Transfer
WE DO NOT ACCEPT CREDIT CARDS 





Patient Consent







 
DESCRIPTION LINK
Client Intake Consent View
SAT Intake Consent View
Privacy Policy View.
Sensitivity and Toxicity Testing $150.00
The above forms are for reference only
Consent Forms are automated and emailed at appointment time




 

Patient Forms






 
HANDOUT NAME
( A ) Acid Alkaline Food Chart
Adrenal Gland Dysfunction
Alkaline Broth
Anti-Inflammatory Diet
( B ) Bach Flower Questionaire
Basic Treatment Guidelines - Men
Basic Tratment Guidlines - Women
BIA Bio Impedance Analysis Brochure
Blood Type Diet
Brown Rice Cleanse
( C ) Candida Protocol Diet
Castor Oil Pack
( D ) Diet Diary (One Week)
( E ) Ear Candling Instructions
( F ) Fiber Foods List
( G ) Gemmo Therapy Descriptions
Gout Relief Diet
( H ) Homeopathic Remedy - How to take
Hypoallergenic Diet
Hypothyroidism
( I ) Immunization Exemption Form
( M ) Metabolic Type Test
( N ) Nose Breathing
( P ) Pelvic Therapy Treatment
Pregnancy Safe Herbs
( S ) Salt - How much is too much
Sock Treatment for Congestion
( T ) Therapeutic Diet for Cancer Prevention
Therapeutic Diet for Weight Management
Thyroid Questionnaire
( U ) Unda Number Applications
Urine Sample Collection Instructions
The patient handouts are intended for use by MNM clients only. They are for information purposes only and should not be used to treat conditions unless supervised by a Naturopathic Doctor or a qualified health care practitioner.


 

Shortlink: mnm.ca/forms