SPORTS REHABILITATION & PAIN MANAGEMENT - REFERRAL FORM

Patient Information

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MaleFemale

Address

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Disciplines Needed

Physiotherapy

Sports/Joint Head/Face Spinal Lymphatic Vestibular

ChiropracticMassageAcupunctureOrthoticsStockingsBracesOccupational TherapySpeech Language PathologyPsychotherapy/Clinical Counseling

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Extended Health CareWSIBMotor Vehicle AccidentLong-term Disability/Private PayOther:

Referrer Information

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FAX: 416-489-8231 TEL: 416-489-8150 WEB: torontopainreliefclinic.com EMAIL: admin@fromtprc.ca

Referral Form

Servicing Patients In

Downtown Toronto
Yonge Eglinton
North York
Rosedale
East York
Cabbagetown
Leslieville
South Riverdale
Yonge St Clair
Liberty Village
Forest Hill
Scarborough
Etobicoke
Don mills
Vaughan
Markham
Richmond Hill
Brampton

At F.R.O.M. (Functional Range Of Motion) Toronto Pain Relief Clinic, we are your trusted partner on the journey to optimal physical health. At our state-of-the-art physio clinic, we blend expertise with compassion to provide tailored solutions for your well-being. Our team of highly qualified health practitioners include physiotherapists, massage therapists, a licensed psychiatrist and chiropractors; all of whom are dedicated to restoring your mobility, relieving pain, and enhancing your quality of life. With a patient-way. Energizing Mind & Body.

Our Services

Physical Therapy
Occupational Therapy
Mental Health
Massage Therapy
Chiropractic Care
Custom Orthotics
Naturopathic Medicine
Shockwave Therapy
Laser Therapy
Bracing
Independent Medical Examinations
MVA Rehab
Clinical Counseling

Contact Us

416-489-8150
admin@torontopainreliefclinic.com
- 179 Queen St E, Toronto, ON M5A 1S2
- 15 Glenforest Rd Toronto, ON M4N 1Z7

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