Bedford: 902-405-3535
Timberlea: 902-444-3535
Dartmouth: 902-405-4545

Intake Forms

Intake Forms

Please click the link below to print your intake form.  Completed forms can be faxed to our office prior to your appointment or can be dropped off at the time of your assessment. Not all questions will be relevant to you, depending on the type of appointment you have. Please fill in all areas that are relevant to you. We will review when you arrive and have you fill in any blanks that are required.

If you would prefer, forms are also available at the front desk.  Please arrive 10-15 minutes early for your appointment if you have not yet completed.

Click one of the links below to download the intake forms.

All documents are in  Adobe (PDF) format. Get the  free Acrobat Reader software here. 


Combined Intake Form (Physio & Massage therapies)

Intake Forms - 3D Gait