PATIENT INTAKE FORM

Direct Billing - Motor Vehicle Accidents - WCB

Patient Intake

If you haven't seen us for this particular issue before, please fill out this form before your appointment.

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info@countryhillsphysio.ca

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Clinic Hours:

Monday 7:00 AM - 8:00 PM
Tuesday 7:00 AM - 8:00 PM
Wednesday 7:00 AM - 8:00 PM
Thursday 7:00 AM - 8:00 PM
Friday 7:00 AM - 8:00 PM
Saturday Closed
Sunday Closed
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