Existing Client Waitlist

If you have not been to the clinic before please use our New Client Waitlist.

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Preferred Therapist *

Choose One *

Only contact me when appointments become available with my requested physiotherapist I would like to see the first available physiotherapist that can treat my issue

Primary reason for your visit *

Choose One *

This is the same issue as a previous appointment. This is a new issue that requires an assessment.

Please list your availability and how long you would like to stay on this list: *

Do you have any additional comments? *

Submit