PDF Patient Intake Form

PDF Patient Intake Form

    3300 Highway 7, Suite 600-02
    Vaugh, On. L4K 4M3
    416 241 0099

    clasicalosteopathy@gmail.com

    PATIENT INFORMATION

    (Mr. Mrs. Ms. Dr.)






















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    CANCELLATION POLICY

    Please provide us with a minimum of 36 HOUR NOTICE for cancellations by phone or email. This will enable us to provide the vacant slot to the patients who require our services.

    Our policy regarding Cancellation: A cancellation fee equal to 100% of your charges applicable to the original time reserved specifically for you, unless you or your child is ill or there is an extenuating circumstance. A $50 fee is charged for last minute cancellations and FULL AMOUNT is charged for No-Show’s.

    Thank you for helping us to maintain a high level of services for all our clients.

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    About Osteopathy

    Had his initial medical training in Sri-Lanka. Subsequently he moved to Europe where he worked as a physiotherapist for many years. While in Europe, he was introduced to osteopathic techniques from Dr. Davidson who was a Harley Street orthopedic surgeon. Upon arrival in Canada, he continued his education at the University of Toronto while working as a physiotherapist. His vast experience includes rehabilitation, sports medicine, and oncology. He continued on to study at the Canadian College of Osteopathy obtaining a doctorate in osteopathic manual practice. He continues to attend local, national and international courses in osteopathy. His area of practice is female health, infertility and postpartum health. Offices held; the vice president of the OAO (Ontario Association of Osteopathic Manual Practitioners), treasurer of the CFO (Canadian Federation of Osteopaths) and a member of both AAO (American Academy of Osteopathy) and WOHO (World Osteopathic Health Organization).