Forms

Please download, print and fill out the appropriate intake forms. Present the completed forms upon arrival to your first appointment with OASIS Mission Physiotherapy. We cannot guarantee the security of your personal information if you choose to email us your completed documents.

  • All new clients or clients who have not been in the clinic in the last 7 years must complete the Complete Intake Form.
  • If your medical history has changed since you were last in and you would like to update us, please complete the Medical History Form.
  • If you would like us to attempt to make a claim to your extended health benefit plan (CINUP, Chambers of Commerce, Cowan, Desjardins, First Canadian, Great West Life, Industrial Alliance, Johnson Inc., Johnston Group, Manulife, Maximum Benefit, or Sun Life) on your behalf, please complete the Assignment of Benefits Form. We can put a claim into Pacific Blue Cross, Green Shield, and SSQ on your behalf without the Assignment of Benefits Form.
  • Clients with a Worksafe BC claim must fill out New Patient Registration, Medical History, WorkSafe Client Job Description, and WorkSafe Client Consent. *Please note, we do require contact information for your employer*

PDF  Complete Intake form

 

PDF  Medical History

 

PDF  Assignment of Benefits

 

PDF  WorkSafe Client Job Description

 

PDF  WorkSafe Client Consent

 

 

Hours of Operation

  • Monday - 6:30 am to 5:00 pm
  • Tuesday - 6:30 am to 5:00 pm
  • Wednesday - 6:30 am to 5:00 pm
  • Thursday - 6:30 am to 5:00 pm
  • Friday - 6:30 am to 4:00 pm

Contact Us To Book
An Appointment

Our main focus is on education; empowering our patients to improve the function of their own bodies. This starts the moment you contact our clinic. We are happy to answer any questions you may have.

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