Book Your Free Consultation * Required fields Are you a Canadian resident?* Yes No Please provide your age* 25-44 45-64 65+ Do you suffer from any of the following? ADD ADHD Agitation Anxiety Arthritis Asthma Autism Brain Injury Cancer Chronic Nausea Chronic Pain Crohn’s Disease Degenerative Diseases Depression Dementia Epilepsy Fibromyalgia Glaucoma Hepatitis C HIV/AIDS Inflammation Insomnia Irritable Bowel Syndrome Migraine MS Panic Attacks Parkinson’s Disease PTSD Seizure Disorders Sleep Disorders Please list your current medications, including vitamins, and over-the-counter products: Please provide your contact information: Select your province * Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Northwest Territories Nunavut Yukon How did you hear about us? Select an option Google Friends or Family Natural Care Educator Doctor Other How do you prefer us to contact you? By Phone By Email Click here to indicate that you’ve read and agree to Natural Care’s Consent to Disclose Personal Health Information and Release Sorry Please complete all required fields to book your appointment. We keep your information strictly confidential.