Get Bhihc Rmt Intake Form - Revision 111122 - Burnaby Heights ...

Completing the BHIHC RMT Intake Form is an important step for accessing massage therapy services. This guide will walk you through the necessary steps to fill out this form online effectively.

Follow the steps to complete the form easily and accurately.

1. Press the ‘Get Form’ button to access the BHIHC RMT Intake Form and open it in your selected editor.
2. Begin with the personal information section. Fill in your name, date of birth, and contact details, including occupation and phone numbers.
3. Provide your mailing address and postal code accurately, ensuring that all fields are filled.
4. Indicate your preferred location of contact and whether you hold a Care Card.
5. List your referring doctor and their contact information.
6. Answer the question regarding how you learned about Burnaby Heights Integrative HealthCare.
7. Describe your reasons for seeking massage therapy today, ensuring to provide detailed information.
8. Indicate your involvement in any active ICBC or WCB claim by selecting 'Yes' or 'No'.
9. Thoroughly answer questions about your current condition and symptoms, detailing when it started, its severity, and what alleviates or worsens it.
10. Use the provided diagram to indicate the nature of your symptoms and list any activities, sports, or hobbies you engage in.
11. Mark any current or past conditions from the provided list using 'C' for current and 'P' for past conditions.
12. Rate your satisfaction with different aspects of your life such as ability to work, level of exercise, and emotional status.
13. Answer questions regarding orthotics, dental appliances, and sleep patterns.
14. List any major accidents, illnesses, or medical procedures relevant to your medical history.
15. Provide information about any medications, supplements, or vitamins you are currently taking along with their purposes.
16. Indicate if you are receiving treatment from health professionals and mention any prior experiences with massage therapy.
17. Review the cancellation policy and consent statement, signing where required to confirm the accuracy of the provided information before submitting.
18. Once completed, save your changes, and you may download, print, or share the form as necessary.

Take the first step towards your wellness journey by completing the BHIHC RMT Intake Form online today.