Forms and Fees

adobePlease click on the link(s) below to download the relevant form(s). You will need Adobe Reader to fill out the forms. If you do not have Adobe Reader, you can download it here. Please fill out the form(s) as completely as possible to save time prior to your initial appointment.

Please fill out this form if you are a new patient to the clinic:
New Patient Intake Form

In addition to the form above, please fill out the appropriate form below if you have an ICBC Claim:

ICBC Initial Questionnaire

After you complete the form, please email the form as an attachment to info@optimumclinic.ca

If you prefer to print and fax the intake form to us instead, you may do so by faxing your completed form to (604) 393-7203.

Physiotherapy Fees

Physiotherapy Initial Visit
$75
Physiotherapy Subsequent Visit
$65
ICBC Physio Initial User Fee
$40
ICBC Physio Subsequent Visit User Fee
$35
MSP Physio Initial User Fee
$55
MSP Physio Subsequent User Fee
$40

Chiropractic Fees

Chiropractic Initial Visit
$80
Chiropractic Subsequent Visit
$50
Chiropractic Extended Visit (For Multiple Complaints)
$90
ICBC Chiropractic Initial Visit
$55
ICBC Chiropractic Subsequent Visit
$30
MSP Chiropractic Initial Visit
$55
MSP Chiropractic Subsequent Visit
$25

Registered Massage Therapy Fees

RMT 60 – Minute Visit
$95 + GST
RMT 45 – Minute Visit
$75 + GST
RMT 30 – Minute Visit
$60 + GST

Registered Acupuncture Fees

Acupuncture Initial Assessment
$90
Acupuncture 60 – Minute Visit
$90
Acupuncture 45 – Minute Visit
$74
Acupuncture 30 – Minute Visit
$59

Registered Kinesiology Fees

60 – Minute Session
$65 + GST
30 – Minute Session
$40 + GST
Active Rehabilitation Session (ICBC)
$(Contact Clinic for Details)