491 Church St. Suite 200

Toronto, ON M4Y 2C6 Canada

416-463-1500

Open mobile navigation

Online Forms

Church Wellesley Health Centre Rehabilitation offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, click here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form



Download the Free Adobe Reader®

Sign up now for a free consultation!

Monday:

8:30 am-7:00 pm

Tuesday:

8:00 am-8:00 pm

Wednesday:

8:30 am-7:00 pm

Thursday:

8:30 am-8:00 pm

Friday:

8:00 am-5:30 pm

Saturday:

By Appt.

Sunday:

By Appt.

Locations

Testimonials

Reviews By Our Satisfied Patients

  • "I've had chiropractic, physio and RMT treatment here and all were exceptional experiences. The practitioners are highly professional, knowledgable and interested in helping you. I highly recommend to anyone looking for a rehabilitation practitioner - in particular Dr Shafiei."
    -Wendy B.

Featured Articles

Read about interesting topics

NEWSLETTER SIGNUP