Dr. Kathleen Nichols
727 Lansdowne St W, Unit 2, Peterborough ON K9J 1Z2
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Patient Intake Forms

Please click on the appropriate link below for the Adult or Child (under 16) intake forms. You will need to print them and bring them to the first visit. 

Alternatively, you may arrive for your visit 15 minutes prior to your appointment time and complete the forms in the office.