Welcome! Please fill out the following personal information.
You will receive a copy of the information using the email provided.
Meadowlands Physiotherapy sends email communication for your physiotherapy care which includes health screenings, appointment remidners and personalized exercise plans. When possible, please use your personal email. Please avoid using your work email, as our correspondence includes personal health information Referral Source: Please let us know if someone referred you directly to us, as we would love to thank them. Please check all that apply: (Required) Meadowlands Physiotherapy Patient Consent Form and Physiotherapy Intake Sheet
Upon completion of your assessment, the Physiotherapist will discuss the specific treatment plan recommended for you. You will receive a Personalized Treatment Plan outlining a recommended program of care for your injury/condition. Any complications or side effects of the proposed treatment will be discussed with you by the Physiotherapist
Please be advised that we require a minimum of 24 business hours to cancel an appointment or a missed appointment fee may be applied.
I have read and understood the above policies and agree to abide by these conditions. I agree to a Physiotherapy Assessment and Treatment to be carried out by a Registered Physiotherapist. I agree to
pay for all services rendered.
I understand that Meadowlands Physiotherapy will keep all medical records confidential and these will not be released without my written consent to anyone other than those mentioned below, except where required by law.
Information may be obtained from OR released to: (Required) By digitally signing below, I hereby authorize Meadowlands Physiotherapy to obtain or release any required information pertaining to my health and rehabilitation as indicated above and agree to all of the above conditions.
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