Forms and Fees

adobePlease click on the link(s) below to download the relevant form(s). You will need Adobe Reader to fill out the forms. If you do not have Adobe Reader, you can download it here. Please fill out the form(s) as completely as possible to save time prior to your initial appointment.

Please fill out this form if you are a new patient to the clinic:
» New Patient Intake Form


In addition to the form above, please fill out the appropriate form below if you have a WCB Claim:
» WCB Initial Questionnaire


After you complete the form, please email the form as an attachment to

If you prefer to print and fax the intake form to us instead, you may do so by faxing your completed form to (604)428-3007.

Physiotherapy Fees

Physiotherapy Initial Assessment
Physiotherapy Prolonged Initial Assessment (60 min)
Physiotherapy Subsequent Visit
Physiotherapy Extended Visit (45 min)
Physiotherapy Extended Visit (60 min)
Telehealth Virtual Physiotherapy Appointment
Pelvic Floor Physiotherapy Initial Assessment
Pelvic Floor Physiotherapy Subsequent Visit
Pelvic Floor Physiotherapy Extended Visit (60 min)
ICBC User Fee
MSP User Fee

Chiropractic Fees

Chiropractic Initial Assessment
Chiropractic Subsequent Visit
Chiropractic Extended Visit
ICBC User Fee
MSP Initial Assessment
MSP Subsequent Visit

Registered Massage Therapy Fees

RMT 30-minute Visit
$85 + GST
RMT 45-minute Visit
$110 + GST
RMT 60-minute Visit
$125 + GST
RMT 75-minute Visit
$160 + GST

Registered Kinesiology Fees

Kinesiology Initial Visit
$80.00 + GST
Kinesiology Subsequent Visit (1 hour)
$80.00 + GST
Kinesiology Subsequent Visit (30 min)
$45.00 + GST
ICBC User Fee