- ABOUT US
- SERVICES
- TREATMENTS
- WEIGHT LOSS
- AESTHETICS
- Acne Solutions
- Neuromodulators
- Dermal Fillers
- Facials/Leg Veins
- Scar Revisions
- Sculptra
- IPL Photofacial
- Microneedling
- Microblading
- Platelet Rich Plasma (PRP)
- Mesotherapy/Lipodissolve
-
Fat Reduction»
- Laser Hair Removal
-
Facial Contouring»
- Lip Neutralization
- Lip Tattoo
- Latisse
- Alumier MD
- Zo Skin Health
- IV THERAPY
- BOOK NOW
Intake Forms
Please download the required Intake Form and bring with you to your next appointment.
Please print and sign our Privacy and General Clinic Policies
Naturopathic Physician
ND General Intake Form
ND Patient Informed Consent and Acknowledgement
Chelation Therapy Consent
Intravenous Therapy Consent
ND Pediatric Intake Form
Medically Supervised
Weight Loss Program
Prolotherapy
Acupuncture
Registered Massage Therapy
RMT Consent Form
RMT Intake Form
Counselling
Counsellor Intake Form
Counsellor Consent Form
Counsellor Consent for Release/Exchange of Info Form
Aesthetics
General Intake Form
Botox Consent
Fillers Consent Form
Iron Infusion
Iron Infusion Referral Form
Iron Infusion Consent Form
Microblading - Lip Tattoo - Lip Neutralization
Intake FormPrecare
After-care
Polo Health
Polo Health + Longevity Centre
711 Columbia Street
New Westminster, BC V3M 1B1
Located in the Heart of New Westminster, BC
and proudly serving Vancouver and the
entire lower mainland,
T: 604-544-7656
F: 604-544-7657
E: info@polohealth.com
Services & Treatments
- Naturopathic Medicine (N.D.)
- Functional Medicine (M.D.)
- Executive Physicals
- Medical Aesthetics
- Registered Massage Therapy
- Registered Acupuncture
- Integrated Cancer Care
- Compounding Pharmacy
- IV Therapy
- Pain Management
- Chelation Therapy
- Mesotherapy
- Acupuncture
- Bio-Identical Hormone Therapy
- Male Hormone Replacement Therapy
- Labs
- Weight Loss
- Women's Health
- Men's Health
- Pediatrics
- Vitamin B-12 Shots
Cancellation Policy
Your appointment time is reserved just for you. A late CANCELLATION or NO-SHOW leaves an unfilled gap in the practitioner's schedule that could have been filled by another patient in need. As such, we require 24 hours notice for any CANCELLATION or changes to your appointment. Patients who provide less than 24 hours notice, or NO SHOW their appointment, will be charged a CANCELLATION OR NO SHOW fee of $100 to the card on file. We understand that emergencies happen, but we kindly ask for as much notice as possible so we can continue to provide consistent care to all patients.
No other appointment will be booked until this fee is paid.
Appointments are subject to change as per practitioner’s schedule