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Markham Rheumatology Hub
Providing high quality rheumatology care in a professional environment.
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SCHEDULE APPOINTMENT
Home
About Us ⌄
Our Approach
Our Team
Services ⌄
Services
Respirology Clinic
Referral Form
Your Visit ⌄
Your Appointment
Clinic Policies
FAQ
Resources
Clinic Updates
Contact Us
Please enable JavaScript in your browser to complete this form.
Patient Name
*
First
Last
Patient Telephone Number
*
Patient Email
Diagnosis
*
Referring Provider
Referring Provider Telephone Number
Physiotherapy
Orthopedic Physiotherapy
TMJ therapy
Pedorthic Assessment
Custom-made orthotics
Other (Please write in Notes section below)
Dietitian Services
Gout
Heart disease
Hypertension
Diabetes
Fatty Liver
Weight Management
Other (Please write in Notes section below)
Occupational Therapy
Sleep regulation/management
External pelvic health intervention
Posture Training
Return to exercise for individuals with chronic pain
Ergonomic Assessment for work/home office
Psychotherapy/Counselling
Anxiety/Depression
Trauma
Insomnia
Other (Please write in Notes section below)
Courses/Workshops
Persistent Pain Workshop: This 1 hour Persistent Pain workshop will provide an overview of the wide-ranging effects of persistent pain on physical and emotional health, as well as a review of strategies to manage pain symptoms and improve overall quality of life.
Persistent Pain/Back Pain Workshop Series: This series is recommended for clients with persistent pain who would benefit from education and strategies to manage pain in a comprehensive manner. *Registration fee: $40*
Pregnancy and Postpartum Pain Workshop Series: This workshop series is recommended for pregnant clients with pain symptoms who would benefit from education and strategies to manage pain in addition to, or in lieu of, pharmaceutical management. *Registration fee: $40*
Notes
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