Ontario physiotherapy intake form checklist
Ontario physiotherapy intake form checklist
Why a checklist matters
Ontario rehab clinics see extended-health, WSIB, MVA, post-surgical, and tele-rehab patients — often in the same week. Each track adds documents. Without a checklist, reception rebuilds the request from memory every time.
Core new-patient items (extended health)
- Health history questionnaire (client-centred language)
- Informed consent for assessment and treatment
- Government-issued photo ID
- Extended health benefits card (front and back)
- Insurer policy or certificate number
- MD/NP referral letter where required by the payer
- Prior imaging or specialist reports (if applicable)
WSIB addendum
- WSIB claim number
- Employer name and contact
- Date and mechanism of injury
- Prior treatment records
- Employer or case-manager correspondence
Form 8 is completed by the treating clinician within 48 hours via TELUS Health — not collected as a patient upload through Hivi-X.
MVA addendum
- Adjuster name, contact, and claim number
- Accident date and brief circumstances
- Police report or incident number (where applicable)
- Hospital discharge summary or ER records
Tele-rehab addendum
- Consent for virtual assessment and treatment
- Remote health history confirmation
- Home environment safety screening notes
Office manager sign-off
Before the visit, confirm checklist completeness. Hivi-X shows missing items on a dashboard and exports an organized package for Jane, Cliniko, or your EMR.
Download the free PDF checklist.
General operational information for Ontario physiotherapy and rehabilitation clinics only — not legal, clinical, privacy, or billing advice. Your clinic remains the health information custodian under PHIPA. Hivi-X is document-collection software; it is not an EMR, does not submit WSIB Form 8, and does not certify college or PHIPA compliance.
Answers are general operational information only — not legal, tax, regulatory, clinical, privacy, immigration, or professional advice. Requirements vary by matter, client, and regulator.
Frequently asked questions
- What should an Ontario physiotherapy intake checklist include?
- Health history, consent, government ID, benefits card, policy number, MD/NP referral if required, WSIB claim details for work injuries, MVA adjuster info for auto claims, prior imaging or discharge summaries when relevant, and tele-rehab consent for virtual visits.
- Is this checklist college-mandated?
- No. This reflects common clinic practice. Verify requirements with insurers, WSIB, CPO, CCO, CMTO, and your privacy officer.
- Can I download a PDF version?
- Yes. Get the free Ontario Physiotherapy & Rehab Clinic Intake Document Checklist at hivi-x.ca/physiotherapy/ontario-physiotherapy-intake-form-checklist.
Collect complete patient intake before the appointment
Hivi-X helps Ontario physiotherapy and rehabilitation clinics request health history, consent, insurance cards, referrals, and WSIB/MVA documents with reusable checklists, a secure guest link (no account needed) or my-id.ca portal, self-hosted AI summaries, and exportable packages for Jane, Cliniko, or your EMR.
More Physiotherapy guides
- Email is not document collection for rehab clinicsOntario physiotherapy clinics lose clinical time when intake documents arrive by email, fax, and text. A checklist-first workflow keeps pre-visit files organized.
- Missing documents cost clinicians treatment timeIncomplete pre-visit intake forces Ontario physiotherapists to spend appointment minutes on admin. Checklist tracking helps reception finish the file before eval day.
- Better patient document collection for rehab clinicsHow Ontario physiotherapy clinics can replace ad hoc email intake with reusable checklists, portal uploads, and exportable packages for the EMR.
- Stop chasing intake forms at the front deskFront-desk staff at Ontario rehab clinics should validate intake before appointments — not chase missing forms when patients arrive.
- EMR vs document collection for physiotherapyJane, Cliniko, and ClinicSense handle charting — but faxed referrals and WSIB letters still arrive outside the portal. Hivi-X fills the pre-visit gap.
- WSIB claim supporting documents intakeWhat Ontario physiotherapy clinics collect before first WSIB treatment — claim metadata and supporting documents. Form 8 still goes through TELUS Health.
- MVA rehab document collection workflowHow Ontario physiotherapy clinics collect MVA claim documents — adjuster contact, police reports, imaging, and discharge summaries — before the first visit.
- MD referral letter collection in OntarioMD and NP referrals for physiotherapy often arrive by fax and email — outside Jane and Cliniko portals. Checklist tracking links referrals to intake before the visit.
- Extended health benefits intake formsCollect EHB insurance cards, policy numbers, and benefit details before Ontario physiotherapy visits — with checklist tracking and EMR export.
- Insurance card verification before visitsVerify extended health insurance cards and policy details before the appointment — not at the front desk when the schedule is full.
- CMTO PHI collection standard and intakeCMTO's November 2025 Collecting Personal Health Information standard — what changed and how clinics self-review intake forms with structured pre-visit collection.
- Physiotherapist record keeping in Ontario (CPO)CPO health record retention, access requests, and how supplementary pre-visit intake records fit alongside your EMR chart.
- PHIPA custodian duties for rehab clinicsOntario physiotherapy clinics are PHIPA health information custodians. Pre-visit document collection tools must fit your privacy impact assessment — not replace it.
- Tele-rehab intake documents in OntarioVirtual and hybrid physiotherapy visits need remote consent, health history, and insurance verification before the video appointment.
- Clinic new patient onboarding documentsFront desk and clinician responsibilities for Ontario rehab clinic new patient onboarding — EHB, WSIB, MVA, and tele-rehab tracks.
- Treatment plan supporting documentsSpecialist reports, imaging, surgical protocols, and outcome baselines that support physiotherapy treatment planning and insurer updates.
- Insurance adjuster document packageHow Ontario rehab clinic office managers assemble MVA and insurer document packages from intake and supporting clinical attachments.
- Hospital discharge summary collectionPost-surgical and inpatient rehab patients often need hospital discharge summaries before physiotherapy intake is complete.
- Voice notes for intake phone callsRecord reception intake phone recaps and summarize them against checklist lines with self-hosted AI — not third-party providers.
- AI summaries for physiotherapy client filesSelf-hosted AI summaries for Ontario rehab clinic intake files — organized around checklists, not generic chatbots.
- Co-agent workflow for rehab clinic staffLoop reception, office managers, and treating clinicians into the same intake file with scoped access — without shared email inboxes.
- Exportable PDF package for EMR uploadExport organized physiotherapy intake packages as PDF indexes for upload into Jane, Cliniko, or your EMR of record.
- Canadian-hosted document collection for rehab clinicsPHIPA custodian due diligence for cloud intake — Canadian hosting, encryption, and self-hosted AI for Ontario physiotherapy clinics.
- Secure client portal for physiotherapy documentsPatients upload intake documents via secure guest link (no account needed) or the authenticated my-id.ca portal. Workflow for Ontario rehab clinics.
- Multi-disciplinary clinic intake standardizationStandardize intake across PT, RMT, and chiro in one Ontario rehab clinic — shared base checklist plus profession-specific addenda.
- Solo physiotherapist intake workflowSolo PT and small two-provider clinics without dedicated admin — lightweight checklist intake without enterprise EMR overhead.
- Jane App vs document collection for physiotherapyJane excels at scheduling and charting. Hivi-X fills the gap for faxed referrals, WSIB letters, and adjuster packages with missing-item tracking.
- Post-surgical rehab intake documentsIntake checklist for post-surgical physiotherapy — operative notes, precautions, imaging, and discharge summaries before first visit.
- Direct billing referral validity documentationDocument MD/NP referral validity for extended-health direct billing — collected and approved before the visit, not after claim rejection.