At IAM Physiotherapy Clinic in Newmarket, we provide evidence-based physical therapy and specialized rehabilitation. Refer your patients with confidence for personalized treatment plans, advanced modalities, and regular progress updates.
Last Name:
First Name:
Phone:
Email:
Diagnosis / Contra-Indication / Comments:
Patient is:
Motor Vehicle Accident
Work Related Injury (WSIB)
Extended Health Coverage
Physiotherapy Treatment
Pelvic Floor Physiotherapy
Shockwave Therapy
Chiropractic Treatment
Acupuncture Treatment
Massage Therapy
Athletic Therapy
Spinal Decompression
Custom Made Orthotics
Compression Stocking
Custom Made Brace
Post-Surgical Rehabilitation
Work Conditioning Program
Psychotherapy / Social Work
Referring Physician:
Phone Number:
Date:
Thank you for the referral.
To make your appointment please call: (289) 466-1140
