Home
Services
Dry Needling
>
Dry Needling
Gunn IMS
Gunn IMS FAQs
Vestibular Physiotherapy in London Ontario
>
Treatments for BPPV in London Ontario
Pelvic Health
>
What is Pelvic Health Physiotherapy | Elevate Physio
Prenatal Physiotherapy
Postpartum Physiotherapy
What to expect during a pelvic floor eamination | Elevate Physio
Scoliosis Physiotherapy
>
Physiotherapy for Scoliosis in London Ontario | Elevate Physio
Physiotherapy for Adolescent Scoliosis | London Ontario
Schroth Physiotherapy in London Ontario | Elevate Physiotherapy
Sport Physiotherapy in London Ontario | Elevate Physio
Manual Therapy in London Ontario | Elevate Physio
Concussion Physiotherapy in London Ontario | Elevate Physio
Stott Pilates Rehabilitation in London Ontario | Elevate Physio
About Us
Our Team
The Clinic
News
FAQs
Contact
Request Appointment
New Client appointment Request
This form is for new clients. If you are already a client you can call the clinic to book at 519-719-1782, use
online booking
, or add yourself to the
existing client waitlist
.
*
Indicates required field
Name
*
First
Last
Email
*
Phone Number
*
Preferred Therapist
*
No preference
Heidi McClintock
Denise Vandermeulen
Marty Chisholm
Andrea Zelibka
Dave Zelibka (special circumstances only)
Choose One
*
Only contact me when appointments become available with my requested physiotherapist
I would like to see the first available physiotherapist that can treat my issue
Primary reason for your assessment
*
General/Orthopaedic
Pelvic Health Physiotherapy
Scoliosis Physiotherapy
IMS/Dry Needling
Concussion/Brain Injury
Dizziness/Vestibular
Other
Please tell us a little more about your condition
*
If you were referred by someone please let us know here:
*
Submit
Home
Services
Dry Needling
>
Dry Needling
Gunn IMS
Gunn IMS FAQs
Vestibular Physiotherapy in London Ontario
>
Treatments for BPPV in London Ontario
Pelvic Health
>
What is Pelvic Health Physiotherapy | Elevate Physio
Prenatal Physiotherapy
Postpartum Physiotherapy
What to expect during a pelvic floor eamination | Elevate Physio
Scoliosis Physiotherapy
>
Physiotherapy for Scoliosis in London Ontario | Elevate Physio
Physiotherapy for Adolescent Scoliosis | London Ontario
Schroth Physiotherapy in London Ontario | Elevate Physiotherapy
Sport Physiotherapy in London Ontario | Elevate Physio
Manual Therapy in London Ontario | Elevate Physio
Concussion Physiotherapy in London Ontario | Elevate Physio
Stott Pilates Rehabilitation in London Ontario | Elevate Physio
About Us
Our Team
The Clinic
News
FAQs
Contact
Request Appointment