Free consultations 416-628-4232
Patient forms

Patient Forms

To be approved for an intensive treatment program, every patient submits a Health Information Form. Download it below, then call us before sending any medical information.

Health Information Form

Required for all intensive treatment programs, including Intensive Suit Therapy. The form is a four-page PDF you can print or fill in and return to us.

What we also need

Records to include with your form

  • MRIs and/or all x-rays related to the diagnoses being treated
  • For children with possible hip subluxation or dislocation: the most recent written report and a hip x-ray taken within the past six months
  • Please contact us before faxing any completed forms, x-rays or other medical information
Send or ask a question

Call 416-628-4232 first, then fax completed forms and records to 1-855-707-5084. Not sure whether your child needs the form yet? Book a free consultation and we'll guide you.

Next steps

From form to first session

Free consultation

Tell us about goals and history by phone or in person.

No cost

Health Information Form

Complete the form and gather recent MRIs, x-rays and reports.

Call before faxing

Intake assessment

About an hour with our therapists to set goals and a protocol.

$100

Your program begins

Your intensive block is scheduled around the approved treatment plan.

Mon–Fri, 9am–6pm

About Intensive Suit Therapy

Free consultation

Give your family a reason to hope again

Whether it's cerebral palsy, a brain injury or stroke recovery, the right plan can change what's possible. Let's build it together.

No referral needed to talk to us · Mon–Fri, 9am–6pm
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