Centre For Quality Care

Markham, ON

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Forms

48 HOURS NOTICE REQUIRED CANCELLATION POLICY

There is a $25.00 cancellation fee billed directly to you for any missed appointments. Please inform us of any change in appointment time 48hrs prior. Third party sponsors do NOT cover this fee. (E.g. private insurance, car insurance, WSIB)

Please fill out the correct form and email it to us at activelifephysiocentre@gmail.com


New Patient Information Form

Motor Vehicle Accident Initial Intake Form

WSIB Initial Intake Form

Informed Consent for Massage Therapy

Informed Consent For Acupuncture