PART A - Pertaining to Extended Health Care Centre
At Alliston Physiotherapy and Sports Rehabilitation, we are committed to providing a safe, respectful, and supportive environment for both our clients and staff.
Abusive language, aggressive behavior, or any form of misconduct toward our staff will not be tolerated.
We appreciate your cooperation in maintaining a positive and professional atmosphere for everyone.
— Management Of Alliston Physiotherapy and Sports Rehabilitation
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| Date Of Birth |
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OFFICE USE ONLY- INSURANCE INFORMATION |
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| Member Name |
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| Policy Number |
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| ID Number |
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| Total Max for Physio |
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| Total Of Message |
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| Total max Of Braces |
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