Intake Forms

TrueNorth Respiratory's intake forms can be completed online using Jane Clinic Management at the link below.

Jane will walk you through creating an account and work through the intake form(s) with you.

Forms completed using Jane are transferred directly into our clinic's management program and allow for quicker, more convenient visits to our clinic.

Alternatively, all forms can be completed in our clinic with our staff to help you. Please let us know when booking your appointment if you'd like to complete your intake form in person and we will be happy to help you.

For questions or concerns about Jane Clinic Management's security features, please see Jane's Security FAQ page at:

Please also see Jane's page regarding Privacy Law in Canada for more information at:

TrueNorth Respiratory is also compliant with, and mindful of, Yukon's HIPMA legislation. See Health Information and Privacy Management Act for more information, or contact Samantha Moore, Officer Manager and Privacy Officer at TrueNorth at or (867)667-7120.

Jane App - Online Client Intake Forms