Initial Health Questionnaire


Please answer each question in as much detail as possible.


I understand that Suzie Weber is a Naturopath and not a medical doctor. I give permission for my health history to be kept on file for the purpose of naturopathic treatment; I understand that all information within my file will be kept confidential at all times. All information given within this questionnaire is to the best of my ability and is a true and accurate representation of my health.

This policy enables Suzie to better utilise available appointments for patients in need of health service. Please be courteous and notify myself by phone or email if you are unable to attend an appointment at least 24 hours prior to your scheduled appointment. Please note that if you miss an appointment or reschedule inside the 24 hours, 50% of the consultation fee will be charged.