How does it work?
Well, we have 3 different Patient In-take forms. These forms are used to receive Physiotherapy, Chiropractic Care, Acupuncture, NeuroGym and Spinal Disc Decompression services, as well as all of our modalities and comprehensive programs. There is one form for each specific type of patient.
Here’s how to figure out which form is best suited to you, your injury and situation.
Follow the link below to learn more. These documents are in PDF format, which require the freely-available Adobe Acrobat Reader utility. If you don't have Adobe Acrobat download it here and follow the on-screen prompts to install it to your hard drive.
Have you been injured in a Car Accident? Download this intake form.
Have you been injured at work? Download this In-take form.
Have you been injured and will use your Extended Health Insurance Benefits or will be paying privately for treatment? Download this In-take form.
All patient types are to fill out a Case History as well.
Download the Case History form here.
Bring the In-take form best suited to you and the Case History form to your initial assessment. These documents are confidential and will only be used to aid in your rehabilitation process at Total Physio.