Our patient health history form is available online so they may be completed in your convenience. Please note that the information you provide us is strictly confidential and not shared with any other party under Regulated Health Professions Act unless advised in written consent by yourself.
Please download all four pages by clicking on the icons below, printing them out and filling in the necessary information. Filling out the health history form in full and detail is very important so that the therapist will have better knowledge about your condition which will reflect a unique effective treatment plan according to your specific condition.
You may e mail us the completed form to firstname.lastname@example.org or bring it in with you to your scheduled appointment and the therapist will collect it with the initial visit.