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Patient Intake Forms | Mount Dennis Weston Physiotherapy & Chiropractic
Mount Dennis & Weston, Toronto

New Patient & RMT Intake Forms

Please complete your intake form online before you arrive. It takes about five to ten minutes on any phone, tablet, or computer, and it lets your physiotherapist, chiropractor, or massage therapist review your health history before you walk in — so your appointment is spent on assessment and hands-on treatment instead of paperwork at the front desk.

New physiotherapy and chiropractic patients complete the New Patient Consent Form. Massage therapy patients complete the RMT Intake Form. The Electronic Transmission Authorization Form is completed alongside either one.

5–10 MinutesAverage Completion Time
Mobile FriendlyPhone, Tablet or Desktop
No Referral NeededTo Book in Ontario

Welcome to Mount Dennis Weston Physiotherapy and Chiropractic Centre. Please complete the appropriate intake form before your appointment. Providing your information in advance helps our physiotherapy, chiropractic, and registered massage therapy team prepare for your visit and better understand your health history, current symptoms, and treatment goals.

Choose Your Intake Form

Select the form that matches your upcoming appointment. Each form opens securely in a new tab and can be submitted directly from your phone, including the electronic signature at the bottom.

Not sure which one applies to you? Call our friendly front desk at 647-691-7667 or send us a message and our team will confirm exactly which form you need before your visit.

Which Form Do I Need?

Your AppointmentForm to Complete
First physiotherapy visitNew Patient Consent Form + Electronic Transmission Authorization
First chiropractic visitNew Patient Consent Form + Electronic Transmission Authorization
Registered Massage Therapy (RMT)RMT Intake Form
Motor vehicle accident rehabilitationNew Patient Consent Form — then call us, as MVA claims require additional insurer paperwork our team can prepare for you
Returning patient, new injury or conditionCall the clinic — in most cases we update your existing file rather than starting a new form

Before Your Appointment

A few small things make your first visit run smoothly. Please make sure you:

Complete the appropriate form in full
Provide accurate, up-to-date information
Review your answers before submitting
Include your electronic signature at the bottom of the page
Have your extended health insurance details handy
Wear or bring comfortable clothing you can move in

Please submit at least 24 hours before your appointment where possible. That gives your practitioner time to review your history in advance, so your scheduled time is spent on hands-on assessment and treatment rather than filling out paperwork at the front desk.

What to Expect at Your First Visit

Your first appointment is primarily an assessment. Your physiotherapist, chiropractor, or massage therapist will review the history you provided on your intake form, ask about how your symptoms started and what makes them better or worse, and complete a physical assessment of movement, strength, and the affected joints or soft tissue.

From there, you will get a working explanation of what is driving your symptoms and a proposed treatment plan — including how many visits are typically needed, what will happen in each one, and what you can do at home between appointments. Most patients begin hands-on treatment during that same first visit.

Why Patients Choose Our Clinic
  • ✓ Multi-disciplinary team of physiotherapists, chiropractors, and RMTs under one roof
  • ✓ Evidence-based, patient-centred care — “Getting You Better, Faster!”
  • ✓ Located inside the Mount Dennis Weston Health Centre on Weston Road
  • ✓ Extended weekday hours plus Saturday morning appointments
  • ✓ Experienced with motor vehicle accident and workplace injury claims
  • ✓ Specialized services including pelvic floor and vestibular therapy

Services & Conditions We Treat

Our multidisciplinary team helps patients with a wide range of muscle, joint, nerve, sports, workplace, and accident-related conditions. Whether you are recovering from an injury, managing chronic pain, returning to activity after an accident, or working to improve mobility and strength, we build a treatment plan around your individual needs.

Hours, Location & Contact

Find Us

Mount Dennis Weston Physiotherapy and Chiropractic Centre
2050 Weston Road
Toronto, ON M9N 1X4

We are located inside the Mount Dennis Weston Health Centre, in the Mount Dennis and Weston area of Toronto — the neighbourhood many patients still know as York.

Phone: 647-691-7667
Email: info@mdphysio.com

Clinic Hours

  • Monday – Thursday9:00 am – 8:00 pm
  • Friday9:00 am – 4:00 pm
  • Saturday9:00 am – 1:00 pm
  • SundayClosed

Frequently Asked Questions

Which intake form do I need to complete?

If this is your first visit for physiotherapy or chiropractic care, complete the New Patient Consent Form. If you are booked for Registered Massage Therapy, complete the RMT Intake Form. The Electronic Transmission Authorization Form is completed in addition, when you consent to your health information being sent electronically. If you are unsure, call us at 647-691-7667 and our team will confirm which form applies.

How long before my appointment should I fill out the form?

Complete your form at least 24 hours before your appointment where possible. This gives your physiotherapist, chiropractor, or massage therapist time to review your health history in advance, so more of your visit can be spent on assessment and treatment rather than paperwork.

How long does the intake form take to complete?

Most patients finish the New Patient Consent Form in about five to ten minutes, and the RMT Intake Form takes a similar amount of time. Having your health card, extended health insurance details, and a list of any current medications nearby will make it faster.

Can I complete the intake form on my phone?

Yes. All forms are mobile-friendly and can be completed on a phone, tablet, or computer — including the electronic signature at the end of the form.

What if I forget to complete my form before arriving?

Please arrive about fifteen minutes early and our front desk team will help you complete it on site. Filling it in ahead of time is still preferred, because it protects more of your scheduled treatment time.

Is my information kept confidential?

Yes. Your intake information is handled as part of your clinical health record and kept confidential in accordance with Ontario’s Personal Health Information Protection Act (PHIPA) and the standards of our regulatory colleges.

Do I need a doctor’s referral before my first appointment?

No referral is required to see a physiotherapist, chiropractor, or registered massage therapist in Ontario. Some extended health insurance plans do require a referral for reimbursement, so it is worth checking your specific plan before your visit.

Where is the clinic located?

We are inside the Mount Dennis Weston Health Centre at 2050 Weston Road, Toronto, Ontario, M9N 1X4, in the Mount Dennis and Weston area of the former City of York. We regularly treat patients from Mount Dennis, Weston, York, Keelesdale, Silverthorn, and Rockcliffe-Smythe.

Physiotherapy, Chiropractic & Rehabilitation in Mount Dennis and Weston

Mount Dennis Weston Physiotherapy and Chiropractic Centre provides personalized physiotherapy, chiropractic care, registered massage therapy, and rehabilitation services in the Mount Dennis and Weston areas of Toronto. Our team offers high quality, evidence-based therapy to help you get back to living your life pain-free — whether that is a recent injury, chronic pain, or maximizing your performance in sport.

We also offer specialized rehabilitation services including pelvic floor physiotherapy, vestibular therapy, shockwave therapy, laser therapy, acupuncture, and spinal decompression. Please complete your intake form before your appointment so we can be prepared for your visit.

Form Complete? Let’s Get You Booked.

Our friendly staff can find you a time that works — including evenings Monday through Thursday and Saturday mornings. Getting you better, faster.

Call 647-691-7667 Book Online → 2050 Weston Rd, Toronto, ON M9N 1X4  ·  Inside the Mount Dennis Weston Health Centre

Serving patients across Toronto: Mount Dennis · Weston · York · Keelesdale · Silverthorn · Rockcliffe-Smythe

Please note: This page is provided by Mount Dennis Weston Physiotherapy and Chiropractic Centre for general informational purposes and does not constitute medical advice or replace an in-person assessment. Intake information is collected and stored in accordance with Ontario’s Personal Health Information Protection Act (PHIPA). Last reviewed: August 2026.