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    • Back Pain and Sciatica Pain Relief
    • Neck Pain Relief
    • Headaches Relief
    • Shoulder Pain Relief
    • Hip and Knee Pain Relief
    • Elbow Wrist and Hand Pain Relief
    • Foot and Ankle Pain Relief
    • Motor Vehicle Accident Injury Chiropractic Care vancouver /ICBC
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  • Specialties
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    • Intramuscular Stimulation (IMS)
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    • Shockwave Therapy
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    • Pain Neutralization Technique
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    • Custom Bracing
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    • Myofascial Release
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  • Book An Appointment Now!
  • About
    • Our Practice
    • Our Location
    • Our Vancouver Team
    • Join Our Team
  • Services
    • Back Pain and Sciatica Pain Relief
    • Neck Pain Relief
    • Headaches Relief
    • Shoulder Pain Relief
    • Hip and Knee Pain Relief
    • Elbow Wrist and Hand Pain Relief
    • Foot and Ankle Pain Relief
    • Motor Vehicle Accident Injury Chiropractic Care vancouver /ICBC
    • Balance & Gait Disorders
    • Arthritis Pain Relief
    • Chronic Pain Relief
    • Fibromyalgia
    • Numbness & Tingling
    • Pre-Surgical Rehab
    • Post-Surgical Rehab
    • Sports Injury Clinic
    • Varicose Veins
    • Work Injuries/WCB
    • View More Conditions
  • Specialties
    • Physiotherapy
    • Intramuscular Stimulation (IMS)
    • Chiropractic
    • Y-Strap Adjustment
    • Knee Decompression
    • Shockwave Therapy
    • Massage Therapy
    • Laser Assisted Spinal Decompression
    • Pain Neutralization Technique
    • ArthroStim Instrument Adjusting
    • Core Stability Training
    • Custom Bracing
    • Custom Orthotics
    • Electrical Stimulation
    • Ergonomic Training
    • Kinesio Taping
    • Laser Therapy
    • Manual Therapy
    • Myofascial Release
    • Naturopathy
    • Therapeutic Exercise
    • Ultrasound
    • Vestibular Therapy
    • Acupuncture
    • Dry Needling
    • Osteopathy
    • Red Light Therapy with Prism Light Pod
  • Our Prices
  • Patient Information
    • Patient Info / Forms
    • Payment Options
    • What To Expect
    • Patient Testimonials
    • Patient Survey
    • Refer a Friend
    • FAQs
    • COVID-19 Update
  • Health Resources
    • Caring For Your Spine
    • Health Blog
    • Lunch and Learn Program
  • Contact Us
  • About
    • Our Practice
    • Our Location
    • Our Vancouver Team
    • Join Our Team
  • Services
    • Back Pain and Sciatica Pain Relief
    • Neck Pain Relief
    • Headaches Relief
    • Shoulder Pain Relief
    • Hip and Knee Pain Relief
    • Elbow Wrist and Hand Pain Relief
    • Foot and Ankle Pain Relief
    • Motor Vehicle Accident Injury Chiropractic Care vancouver /ICBC
    • Balance & Gait Disorders
    • Arthritis Pain Relief
    • Chronic Pain Relief
    • Fibromyalgia
    • Numbness & Tingling
    • Pre-Surgical Rehab
    • Post-Surgical Rehab
    • Sports Injury Clinic
    • Varicose Veins
    • Work Injuries/WCB
    • View More Conditions
  • Specialties
    • Physiotherapy
    • Intramuscular Stimulation (IMS)
    • Chiropractic
    • Y-Strap Adjustment
    • Knee Decompression
    • Shockwave Therapy
    • Massage Therapy
    • Laser Assisted Spinal Decompression
    • Pain Neutralization Technique
    • ArthroStim Instrument Adjusting
    • Core Stability Training
    • Custom Bracing
    • Custom Orthotics
    • Electrical Stimulation
    • Ergonomic Training
    • Kinesio Taping
    • Laser Therapy
    • Manual Therapy
    • Myofascial Release
    • Naturopathy
    • Therapeutic Exercise
    • Ultrasound
    • Vestibular Therapy
    • Acupuncture
    • Dry Needling
    • Osteopathy
    • Red Light Therapy with Prism Light Pod
  • Our Prices
  • Patient Information
    • Patient Info / Forms
    • Payment Options
    • What To Expect
    • Patient Testimonials
    • Patient Survey
    • Refer a Friend
    • FAQs
    • COVID-19 Update
  • Health Resources
    • Caring For Your Spine
    • Health Blog
    • Lunch and Learn Program
  • Contact Us
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Patient Info / Forms

We are here to help you enjoy your life, pain-free! To make a convenient appointment, simply call us today at 604- 879-7214. Physiomed is dedicated to helping you identify the cause of your pain and creating a custom treatment program that will allow you to return to normal activities pain-free.

Patient Forms

Physiomed offers our patient online forms so they can be completed in the convenience of your own home or office before you even arrive at our chiropractic office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form – Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

  • 1

    Patient Info Form

    Download & Print
  • 2

    Chiropractic Intake Form

    Download & Print

Before Your First Visit

  • Make a list of questions that you have to discuss on your first visit.
  • List signs and symptoms that can be of importance to the therapist.
  • Have in writing key past medical history, previous treatments, current medications, and other important information.
  • Please call our office to verify your insurance benefits.
  • Arrive 15 minutes early for your first appointment.
  • Bring with you a copy of your insurance card and a photo ID.

ADDRESS

Physiomed

1677 E Broadway
Vancouver, BC V5N 1V9, Canada

CONTACT

P: (604) 879-7214

E: frontdesk@physiomed.ca

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HOURS

Mon-Fri: 10:00 am – 7:00 pm
Sat: 10:00 am – 4:00 pm
Sun: Closed

Specialties

  • Acupuncture
  • ArthroStim Instrument Adjusting
  • Chiropractic
  • Core Stability Training
  • Custom Bracing
  • Custom Orthotics
  • Electrical Stimulation
  • Ergonomic Training
  • Kinesio Taping
  • Knee Decompression
  • Laser Assisted Spinal Decompression
  • Laser Therapy
  • Manual Therapy
  • Massage Therapy
  • Myofascial Release
  • Pain Neutralization Technique
  • Physiotherapy Vancouver
  • Back and Sciatica Pain Relief
  • Balance & Gait Disorders
  • Chronic Pain Relief Vancouver
  • Elbow Wrist and Hand Pain Relief
  • Fibromyalgia
  • Foot and Ankle Pain Relief
  • Headaches Relief
  • Hip and Knee Pain Relief
  • Red Light Therapy with Prism Light Pod

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