Online Forms

We offer our paperwork online so you can complete it in the convenience of your own home.


Health History - Adult

This let’s us know what’s happened, but perhaps more important, where do you want to take your health?

  Download & Print Form


Health History - Child & Infant

  Download & Print Form




Dr. Douglas Penrose & Dr. Karen Smith
592 Bedford Highway, Halifax, Nova Scotia | 902 443-5669


Free AdobeReader®

Each form is a PDF document file.  If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.

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