Qualicum Physiotherapy Clinic
Qualicum Physiotherapy Clinic
Qualicum Physiotherapy Clinic
Qualicum Physiotherapy Clinic Mission Statement
Qualicum Physiotherapy Clinic
Qualicum Physiotherapy Clinic Services
About Qualicum Physiotherapy Clinic
Qualicum Physiotherapy Clinic Staff
Insurance
Contact Qualicum Physiotherapy Clinic
Qualicum Physiotherapy Clinic Links
Frequently Asked Questions
Medical Library
Qualicum Physiotherapy Clinic Patient Forms
Qualicum Physiotherapy Clinic ICBC Patients
News & Events

ICBC Patients

ICBC patients have 25 pre-authorized treatments to be used within 12 weeks of their accident. No doctor's referral is required. If an ICBC patient's first appointment occurs after the initial 12 weeks we will contact ICBC for approval. If ICBC coverage is in place there is no charge to the patient for their appointment.

Please fill out the following forms and bring them with you to your first appointment. If you are unable to complete these forms at home please come to your appointment 15 minutes early to complete them in the clinic.

Upper Body/Neck Injuries -
Neck Disability Index Form and the Dash Form

Lower Body/Lower Back Injury -
Lower Extremity Functional Scale Form

Oswestry Low Back Pain Disability Questionnaire Form