Initial Intake Form

Welcome to Active Physiotherapy Brampton Inc.! In order to serve you better, please take a moment to complete this form.
If you require assistance, please see the receptionist. When finished, kindly return this form to the front desk.

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Book Your Initial Consultation

During your first visit, you'll have a one-on-one discussion about the concerns that led you to our office. We will conduct a comprehensive health history and evaluation. Get in touch with us today to schedule your appointment.