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Physiotherapy Clinic


This page contains the necessary intake and consent forms for our services. Feel free to complete these forms and submit them to us either by printing and bringing them to your appointment or by emailing them in advance. For any sections that require a signature, we will prepare a printed copy of your emailed form for you to sign upon your arrival at our facility.


Please ensure you fill out all forms corresponding to the specific treatment you will be receiving.

Massage Therapy

Massage Consent Form
Massage Health History


Osteopathy Consent Form
Osteopathy Health History

Chiropractic Services

Chiro Consent Form
Chrio Health History


Acupuncture Consent Form
Acupuncture Health History
  • Are your therapists registered?
    Yes, all our physiotherapists, massage therapists, acupuncturist, osteopathic manual practitioner and chiropractor are board certified and registered with their respective Ontario colleges.
  • Who can fit me for orthotics?
    Physiotherapists and Chiropractors can dispense orthotics; however, some insurance companies may specify which health provider can dispense the orthotics.
  • Do you bill directly to my extended benefits/insurance company?
    Yes, we do. If we are able, we will gladly bill on your behalf. However, not all insurances allow direct billings/ payments so you are responsible to pay after each visit. We will provide you with an invoice with all necessary information required to submit for your reimbursement.
  • How long can I expect my first physiotherapy appointment to last? How long are subsequent visits?
    Your initial assessment will last up to one hour, while follow ups are up to 45 minutes, and extended follow ups are up to one hour.
  • Can I have a massage and physiotherapy appointment on the same day?
    Yes, depending on the recommendations of your physiotherapist and/or massage therapist.
  • Do I need a doctor’s referral?
    No, a doctor’s referral is not required for a therapist to assess and treat you; however, some insurance companies and policies require a referral to process you claims. Please check with your insurance provider or we can do it for you at your first visit.
  • What is the process for compression stockings?
    A doctor must first prescribe and indicate the level of compression that you require in order for our Physiotherapist to measure and complete the process. Please note that only compression levels above 20mmHg are covered by insurance.
  • What should I wear for my appointments?
    For the initial assessment and subsequent visits, you should wear attire that is comfortable. Depending on the area of injury, you should wear something to expose the treatment area. This may include wearing or bringing loose fitting pants, shorts or t-shirt.
  • What payment options are available?
    We accept the following payments: Extended Health Care (EHC), Motor Vehicle Accident (MVA), Worker’s Safety and Insurance Board (WSIB), Private (out of pocket), Interim Federal Health Program (IFHP) and Veteran’s Affairs Canada (VAC).
  • How long until my full recovery and how often should I visit?
    Recovery times vary for everyone. It depends on the severity of your injury, the type of work you do, your medical history and other physical, social, and emotional factors. Your therapist will provide you with more details regarding your progress and how many times a week you should attend.
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