Get Sports Physiotherapist Application Form

Completing the Sports Physiotherapist Application Form online is an essential step in receiving the care you need. This guide provides a clear and supportive framework to help you navigate each section of the form with confidence.

Follow the steps to successfully complete your application form.

1. Press the ‘Get Form’ button to access the application form and open it for editing.
2. Enter your last name and first name in the designated fields at the top of the form.
3. Provide your date of birth using the M/D/Y format in the corresponding section.
4. Select your gender from the available options provided.
5. Fill in your complete address, ensuring to include the city and postal code.
6. Input your BC care card number in the specified field.
7. Enter your email address, and indicate whether you would like the physiotherapist to contact you via email by selecting yes or no.
8. Indicate if you would like to receive email appointment reminders by choosing yes or no.
9. Provide your daytime and home phone numbers in the required fields.
10. Specify the primary area of your body requiring treatment.
11. Indicate if you were referred by a physician by selecting yes or no and, if applicable, provide the physician's name.
12. If you have a family doctor who is different from the physician mentioned earlier, provide their name as well.
13. Answer whether you have extended health benefits by selecting yes or no, and if yes, provide your employer and insurer details.
14. Indicate how you heard about the clinic by selecting the relevant option and fill in any 'other' information if applicable.
15. Review the cancellation fee policy and ensure that you understand the terms presented.
16. Provide your name and signature in the designated spaces, along with the date of completion.
17. If applicable, enter your insurance claim details, including the claim number, date of accident, adjustor's name, claim center, and adjustor's contact information.
18. Indicate whether you have retained legal counsel by selecting yes or no, and if yes, provide the lawyer's name and firm information.
19. Finally, review all filled entries for accuracy, then choose to save changes, download, print, or share your completed form.

Complete your Sports Physiotherapist Application Form online today to begin your journey to recovery.