New Physiotherapy Patient Screening Survey (Mandatory)

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Please take a moment to fill out our mandatory screening survey for new physiotherapy patients - your answers will determine if Amy’s treatment style is a good fit for you. It should take less than 5 minutes to fill out.

Email *

Amy's work hours are:

Tuesday and Friday: 10am-7pm

Please note that available spots between 5-7 PM are reserved for returning patients.

Once you complete your first appointment with Amy, you will be become a “returning patient”.

Please book your first appointment between 10AM-5PM.

Can't find a time? Please add yourself to the waiting list and Amy will contact you if a spot opens up. Click here for a tutorial on how to add yourself onto Amy's wait list.

I understand

Amy Chen is a Registered Physiotherapist and Acupuncturist who specializes in using acupuncture to treat pain. The majority of your physiotherapy treatment time will be acupuncture, and Amy will provide you with a home exercise program as well as patient education.

Amy does NOT use massage therapy, ultrasound, TENS/IFC machines, heat pads, or manipulations for her physiotherapy treatment.

NOTE: acupuncture is a treatment modality that is covered under all physiotherapy insurance.

I understand

Have you had acupuncture in the past? *

Yes

Acupuncture is the use of sterile, single-use, disposable needles on the body to relax muscles, decrease pain, and improve blood circulation. It is safe and pain-free. Most people would benefit from a course of treatment of 5-12 appointments before they experience long-lasting pain relief. *

I understand

Are you okay with acupuncture as the primary form of treatment in your physiotherapy appointment? *

Yes, I would love to get acupuncture done as part of my physiotherapy treatment

No, I am not interested in getting acupuncture done as part of my physiotherapy treatment

We do not accept OHIP (Ontario Health Insurance Plan) or WSIB (Workplace Safety and Insurance Board) patients at this clinic. *

I understand.

When are you available to come in?

(For example: after 6pm on weekdays, available on Sunday.)

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