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Patient Portal

Thanks for your interest in being a patient!

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Before we get started and we match you with a physiotherapist, we have a couple of questions that will help us determine the right fit for you. Answering these questions upfront helps us make the most of your free consultation time.

Just want to reach out? Email us at admin@613physio.com or call us at (613) 899-9163. 

Coming soon!

1
Credentials
2
Injury/Condition

Contact Details

First Name *
Last Name *
Email *
Phone Number *
Date of Birth (optional)
Were you referred to a specific therapist? *
Please indicate your scheduling preference, we will do our best to accommodate. *
Location of treatment (Optional)
Suburb *
Neighbourhood (Ottawa Central) *
Neighbourhood (Ottawa East) *
Neighbourhood (Ottawa South) *
Neighbourhood (Ottawa West) *
Neighbourhood (Gloucester) *
Neighbourhood (Kanata) *
Neighbourhood (Nepean) *
Neighbourhood (Other) *

Emergency Contact (optional)

Full Name
Phone Number

Your specific situation is important to us.

  1. Head and/or Neck
  2. Shoulders
  3. Upper Back
  4. Elbows
  5. Lower Back
  6. Hands and/or Wrists
  7. Hips
  8. Knees
  9. Ankles
  10. Lower Body (not labelled)
Referring to the chart above, what area(s) are you looking to treat?
Please describe the Injury or condition. *
How did you hear about us? *

Hours

Monday 8AM – 5PM
Tuesday 8AM – 5PM
Wednesday 8AM – 5PM
Thursday 8AM – 5PM
Friday 8AM – 5PM
Saturday CLOSED
Sunday CLOSED

6914 Lake Forest Walk,
Greely, ON K4P 0A3

admin@613physio.com

(613) 899-9163

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Questions?

We might have answered your question already, check out our frequently asked questions. If you can’t find the answer you’re looking for, please reach out — we’re always happy to chat!

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Email
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