Get Activ8 Wellness

This guide aims to provide clear, step-by-step instructions for filling out the Activ8 Wellness form. Understanding each component of the form will facilitate a smooth experience during your physiotherapy journey.

Follow the steps to complete the Activ8 Wellness form effectively.

1. Press the 'Get Form' button to access the Activ8 Wellness form and open it in your designated editor.
2. Fill in your personal information, including your surname, given name, home address, email address, city, province, postal code, home phone, cell phone, work phone, date of birth, date of injury, and occupation. Ensure all entries are accurate to facilitate communication and care.
3. Provide emergency contact details. Enter the name, relationship to you, and phone number of your chosen contact person.
4. Complete the 'Release of Information' section. Clearly identify the individuals you've authorized to share your care details with Activ8 Wellness, including physicians and physiotherapists. Initial in the provided fields to confirm consent.
5. Read and acknowledge the 'Consent for Assessment and Treatment' section. Confirm your understanding by signing and dating the form. If you are under 16, a guardian's signature is required.
6. Next, fill in the payment information. Acknowledge your responsibility for payments and provide the necessary insurance details, including the benefit company name, policy holder name, and associated contact information.
7. Complete the 'Attendance Policy' section by acknowledging their cancellation policy. You'll need to sign and date this section, with a guardian required if you are under 18.
8. As you reach the 'Fee Policy' section, review and confirm your understanding of fees associated with your service, along with your method of payment.
9. Finally, review all details filled, save changes, and ensure that all necessary signatures are obtained. Download, print, or share the completed form as needed for your records.

Begin completing your Activ8 Wellness form online today for a seamless experience in your physiotherapy care.