Forms to fill out

If you are a new patient to our clinic, you can save some time and fill out our forms ahead of time. 

Make sure that you bring these forms in for your first visit.

To find out about the cost of treatment, please call us at 474-4440.

 

Physiotherapy Treatment

Welcome

General Intake Form 2017

Privacy Policy 2017

Consent to Release Medical Information

Cancellation Policy 2017


Car Accident Claims

Welcome Package 2017

General Intake Form 2017

Privacy Policy 2017

Cancellation Policy 2017

Consent to release medical information

Insurance Information

 

Pelvic Health Physiotherapy

Welcome Package 2017

General Intake Form 2017

Privacy Policy 2017

Cancellation Policy 2017

Consent to release medical information

Female Pelvic Health Intake Form 2017

Male Pelvic Health Intake Form 2017

If you suffer from Pelvic Pain - please answer these following questionnaires

PCS questionnaire

CSI questionnaire


Massage Therapy

Intake Form

Privacy Policy 2017

Cancellation Policy 2017

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