New Client Information

Submit this form to be contacted by our front desk staff to get in and see one of our therapists

MM/DD/YYYY
or length of time experiencing symptoms
if applicable
if applicable
if you are in a movement limiting device already, please describe it.
Have you had any imaging done or scheduled?
Note; we are a private clinic and do not do direct billing except for WSIB and MVA cases.

All appointments are paid for by the patient and receipts can submitted for reimbursement to your extended healthcare provider.

If we book you for a type of therapy you say you have coverage for here but do not, you will be paying out of pocket. Please double check your coverage to ensure reimbursement

*Most plans do not include Occupational Therapy.*

WSIB/MVA Information

WSIB Cases only
WSIB Cases only
WSIB Cases only
WSIB Cases only

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