If you are a new patient to our clinic, welcome!
While we understand that filling out forms is never fun, we ask that you please make sure to be as accurate and detailed as you can. The information you provide will give the practitioner treating you a clear picture of your medical history, and will allow them to make a more complete assessment.
If you have any questions, or need help filling out any of the below forms, please feel free to call our office at 604-732-3422. One of our staff will be happy to assist you.
New Patient Forms
If you have recently been in a motor vehicle accident, or have an ongoing ICBC claim, please fill out the above Questionnaire.
The last three pages of the intake form are required surveys by ICBC. Please ensure that you are as accurate as possible and complete all boxes that apply. Keep in mind that the Neck Disability Index only applies to neck pain (only complete it if you have neck pain), and the Back Pain Disability Index only applies to back pain (only complete it if you have back pain).
If you have recently been in a work place accident, or have an ongoing WorkSafe claim, please fill out the above Questionnaire.