For your convenience, we’ve provided our patients’ forms on our website. To help expedite your first visit, please download, print and complete the forms. Bring them with you when you come in for your first visit. If you choose to fill out the patient form packet at our office, please arrive 10-15 minutes before your appointment to allow enough time to get them completed before your appointment.
Our forms are PDF files. In order to download and print them, you’ll need the free Adobe Acrobat Reader program: iPad/iPhone | Android | Desktop
- Intake Form
- Health History Form
- Female Symptom Monitor
- Male Symptom Monitor
- Consent Form
- Sunlife Plan Member Consent Form
- Telus Health eClaims-Patient-Consent-Form
- Bladder Diary Patient Leaflet
- Central Sensitization Inventory
- DASS Questionnaire
- Lower Extremity Functional Scale (LEFS)
- Neck Disability Index (NDI)
- Female Genitourinary Pain Index (GUPI)
- Male Genitourinary Pain Index (GUPI)
- OCM – ICSI ICPI
- OCM – PUF
- Pain Self-Efficacy Questionnaire
- PCS Questionnaire
- RMQ LBP
