Instructions

OHIP Patients
Arthritis
Neck
Back
Shoulder
Hip, Ankle, Knee
Headaches
Car Crash

Instructions

Forms are a hassle. Nobody has ever said they like filling them out. In order to properly assess you, though, we have to have them.

Click on the tab that corresponds to your condition or injury to find your forms.

Please fill them out as completely as possible and bring them in at your first visit.

If you are at all unsure which forms to use, please call our office at 905-697-8001.

You will need Adobe Acrobat Reader view the form in this format. You can get Adobe Acrobat Reader here.

OHIP Patients

(Please "right click" on the links and select "Save link as..." to download the files.)

1) Complete: Health Questionnaire & Intake form

2) Bring your valid OHIP card

3) Complete applicable injury specific form below

4) Bring a referral from your doctor or registered nurse practitioner

Arthritis

(Please "right click" on the links and select "Save link as..." to download the files.)

1) Complete: Health Questionnaire & Intake form

2) Complete: HAQ II Health Assessment Questionnaire

Neck

(Please "right click" on the links and select "Save link as..." to download the files.)

1) Complete: Health Questionnaire & Intake form

2) Complete: Neck Disability Index

Back

(Please "right click" on the links and select "Save link as..." to download the files.)

1) Complete: Health Questionnaire & Intake form

2) Complete: Roland Morris Questionnaire

Shoulder

(Please "right click" on the links and select "Save link as..." to download the files.)

1) Complete: Health Questionnaire & Intake form

2) Complete: Quick DASH

Hip, Ankle, Knee

(Please "right click" on the links and select "Save link as..." to download the files.)

1) Complete: Health Questionnaire & Intake form

2) Complete: Lower Extremity Functional Scale

Headaches

(Please "right click" on the links and select "Save link as..." to download the files.)

1) Complete: Health Questionnaire & Intake form

2) Complete: Migraine Questionnaire

Car Crash

(Please "right click" on the links and select "Save link as..." to download the files.)

1) Report the accident to your insurance adjustor.

1) Complete: Health Questionnaire & Intake form

2) Complete: OCF-1: Application for Accident Benefits, keep a copy and submit a copy to your insurance company.