Privacy and Sharing of Information
I authorize the clinic and its associated health professionals to collect my personal and medical information as documented above. In addition, I authorize the clinic and its associated health professionals to communicate with my family doctor and/or referring doctor as deemed necessary for my beneficial treatment. I also understand that my personal and medical information is confidential and will only be disclosed to third parties with my permission.
Your appointment time is reserved just for you. A late cancellation or missed visit leaves a hole in the therapists’ day that could have been filled by another patient. As such, we require 24 hours notice for any cancellations or changes to your appointment. Patients who provide less than 24 hours notice, or miss their appointment, will be charged a cancellation fee.
Physiotherapy Assessment and Treatment Consent
I understand that physiotherapy treatment techniques recommended may include but are not limited to: manual techniques, manipulations, mobilization, acupuncture, intramuscular stimulation, therapeutic exercise, as determined by my treating physiotherapist. Your physiotherapist will explain the benefits, side effects, risks and or potential complications of each chosen technique before use.