Waitlist Application - Kerri Dunsmore Athletic Therapy
Welcome to Kerri Dunsmore Athletic Therapy. This is an application to be put on the waitlist for my in-person clientele. Please note that this is not a confirmation that you will be receiving and appointment time. This is purely an application or screening process to ensure that we are a good fit for each other.

This information will remain confidential and will only be used as a screening process and means to contact you.

As a solo practitioner, my time is valuable and I am trying to automate my screening process and systems. If you have any questions outside the information provided in this application, please email me: hello@kdathletictherapy.ca


GENERAL CLINIC INFORMATION:

Please read the following carefully before you continue:

- Each appointment time is 1 hour in length for 120$ (tax included). This includes GST and is subject to change at any time.

- Clinic hours are 9am - 4pm, with last appointment beginning at 3pm. I do not treat evenings or weekends. These hours can vary by day or week and are subject to change at any time.

- Payments methods accepted are: cash, Visa, Mastercard or e-transfer (no debit or amex). I will provide you with a receipt via email.

- Due to administrative constraints, I am unable to provide direct billing services or communication on your behalf to insurance companies.

- If you have insurance coverage, it's up to you to contact your provider to confirm that Athletic Therapy is covered. 

- Due to administrative constraints, I am unable to treat people with an open injury case (ex. ICBC, motor vehicle injuries, WorkSafeBC claims, etc). Feel free to contact me once your case is closed.

- This is an application to be put on the waitlist, there is no guarantee that you will be receiving an appointment time.

- Your information will be kept confidential and used as a screening process only to ensure we are a good fit to potentially enter into a client/Athletic Therapist contract/treatment agreement.

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