Brookswood Plus Physiotherapy · Langley, BC
Patient Intake & Clinic Policy Forms
Save time at your first visit to our Langley clinic by reviewing our pre-visit checklist and completing your intake forms prior to your appointment.
Everything you need for your first physiotherapy appointment in Brookswood is on this page: the forms, what to bring, how billing works and what to expect. No doctor's referral is needed to book.
Prefer to Complete Your Forms Online?
When you book an appointment, your digital intake forms are automatically emailed to you and accessible inside your Jane App Patient Portal—no printing required.
Before your first physiotherapy visit in Brookswood, Langley
Completing your paperwork ahead of time means more of your appointment is spent on your assessment and treatment.
Brookswood Plus Physiotherapy at 4041 200 St, Langley, welcomes new patients for physiotherapy, active rehabilitation, IMS and dry needling, ICBC claims and WorkSafeBC claims. Every new patient completes a Patient Intake & Medical Consent Form, and some visits need an extra form or claim details. The sections below show which forms apply to you, what to bring and how to prepare.
You can book directly with a physiotherapist. A doctor's referral is not required, although some extended health plans ask for one before they reimburse you, so it is worth checking your plan.
Downloadable PDF Forms
If you prefer paper copies, download and print the required forms below and bring them with you to 4041 200 St, Langley. Don't have a printer? Just arrive 10–15 minutes early and our reception team will assist you.
Patient Intake & Medical Consent Form
Required for all new patients prior to your initial assessment or treatment session.
Dry Needling / IMS Consent Form
Required alongside your general intake form if you are scheduled for Intramuscular Stimulation (IMS) or Dry Needling.
WorkSafeBC Intake Form
Required for workplace injury claims. Please have your WorkSafeBC Claim Number and Date of Injury ready.
Authorization for Release of Patient Information
Complete this form if you need us to request or share medical records, imaging, or reports with your physician or insurer.
Which Forms Do I Need?
- Standard Physiotherapy / RMT / Kinesiology: Patient Intake & Medical Consent Form only.
- IMS or Dry Needling: Patient Intake Form + Dry Needling Consent Form.
- ICBC (Motor Vehicle Accident): Patient Intake Form + your ICBC Claim Number, Adjuster contact, and Personal Health Number (PHN).
- WorkSafeBC Claims: Patient Intake Form + WorkSafeBC Intake Form.
What to Bring to Your First Visit
- Photo ID & BC Services Card (CareCard): Required for identity verification and claim processing.
- Extended Health Insurance Card: For direct billing with Pacific Blue Cross, Sun Life, Canada Life, Manulife, and more.
- Comfortable Clothing: Loose athletic wear (shorts for hip/knee/ankle visits; tank top or t-shirt for neck/shoulder/back visits).
- Relevant Medical Reports: Any X-ray, MRI, ultrasound results, or physician referral notes (a doctor's referral is not required to book).
What to expect at your first physiotherapy appointment
A first visit at our Brookswood clinic follows five simple steps, from booking to your treatment plan.
Book online or call
Choose a time through our online booking page or call 236-325-0660. Your digital intake forms are emailed to you automatically.
Complete your forms
Fill them in through the Jane App Patient Portal, or download and print the PDFs above. For ICBC or WorkSafeBC, have your claim number ready.
Arrive 10 to 15 minutes early
Free parking is at the back of the clinic, so look for the sign to enter. If you have not finished your forms, our reception team will help.
Your assessment
Your physiotherapist asks about your history and what you want to get back to, then assesses your movement, strength and the area that hurts. They explain what they find in plain language.
Your plan and next steps
You agree on a treatment plan, which may include manual therapy, exercises or other treatments where suitable, and book follow-up visits. Treatment may begin at the first visit where appropriate.
Forms, documents and billing by type of visit
Find your type of visit to see which forms to complete and what to bring.
Swipe sideways to see the full table on a phone.
| Type of visit | Forms to complete | What to bring | Billing |
|---|---|---|---|
| Physiotherapy (private or extended health) | Patient Intake & Medical Consent Form | Photo ID, BC Services Card, extended health card, relevant reports | Direct billing to many extended health plans. Any co-pay or balance not covered by your plan is paid at the visit. |
| IMS or dry needling | Patient Intake Form + Dry Needling Consent Form | Photo ID, BC Services Card, extended health card | Direct billing to many extended health plans, subject to your coverage. |
| ICBC (motor vehicle accident) | Patient Intake Form | ICBC claim number, adjuster contact, Personal Health Number (PHN) | We bill ICBC directly for approved treatment. |
| WorkSafeBC (work injury) | Patient Intake Form + WorkSafeBC Intake Form | WorkSafeBC claim number and date of injury | We bill WorkSafeBC directly for approved treatment. |
| Active rehabilitation, RMT or kinesiology | Patient Intake & Medical Consent Form | Photo ID, BC Services Card, comfortable clothing | Direct billing to many extended health plans, subject to your coverage. |
| Sharing records with your doctor or insurer | Authorization for Release of Patient Information | Names of the doctor or insurer, and the reports you need shared | Not a billing item. Needed before we request or share records. |
Coverage depends on your plan or claim. If you are unsure what has been approved, call us at 236-325-0660 and we will check.
Clinic Policies & Billing Information
24-Hour Cancellation & Late Arrival Policy
We kindly ask for at least 24 hours' notice if you need to reschedule or cancel your appointment so we can offer that time to another patient on our waitlist. Missed appointments or cancellations with less than 24 hours' notice may be subject to a late cancellation fee. If you arrive late, we will do our best to accommodate you within your remaining scheduled time.
Direct Billing to Extended Health & Insurers
Brookswood Plus Physiotherapy offers direct billing to most major extended health insurers, including Pacific Blue Cross, Sun Life, Canada Life, Manulife, Desjardins, Green Shield, ICBC, and WorkSafeBC. Please note that patients are responsible for any co-pay, deductible, or balance not covered by their plan at the time of service.
Patient Privacy & Confidentiality (PIPA)
Your personal and medical information is strictly confidential and protected under British Columbia's Personal Information Protection Act (PIPA) and the standards set by our regulatory colleges. Records are stored securely and are never shared with third parties without your explicit written consent.
Not sure which service to book?
Read about each service before you book. If you are unsure, start with a physiotherapy assessment and your physiotherapist will recommend the next step.
How to prepare for your assessment
A few minutes of preparation helps your physiotherapist understand your concern faster.
Think through your story
- When your symptoms began and what happened.
- What makes them better or worse, such as sitting, stairs or lifting.
- Previous injuries, surgeries or treatment for the same area.
- What you want to get back to, such as work, sport or daily activities.
Bring the right details
- A list of current medications and any relevant medical conditions.
- Imaging or reports, such as X-ray, MRI or ultrasound results.
- Claim number and adjuster details for ICBC or WorkSafeBC.
- Footwear, a brace or a work or sport item if it helps explain your concern.
If you have had a recent head injury, a suspected broken bone or sudden severe symptoms, see a doctor or go to emergency before booking.
Finding our Brookswood clinic, parking and access
Our clinic is at 4041 200 St, Langley, BC V3A 1K8, at the corner of 200 St and 40 Ave in the Brookswood area. Free parking is at the back of the clinic, so look for the sign to enter. The clinic is wheelchair accessible, and you can contact reception in advance to discuss any access needs.
4041 200 St, Langley, BC V3A 1K8
Nearby landmarks, all within a one-minute walk:
- Shoppers Drug Mart Brookswood
- Brookswood Park
- Brookswood Veterinary Hospital
First visit and intake form FAQs
Do I need to fill out forms before my first physiotherapy appointment?
Yes. Every new patient completes a Patient Intake & Medical Consent Form. You can complete it online through your Jane App Patient Portal after booking, or download the PDF, print it and bring it with you. If you arrive 10 to 15 minutes early, our reception team can help.
Do I need a doctor's referral to book physiotherapy in Langley?
No. You can book directly with a physiotherapist at our Brookswood clinic. Some extended health plans ask for a referral before they reimburse you, so check your plan. For ICBC, no referral is needed for the pre-approved treatments in the first 12 weeks after a crash.
What should I bring to my first physiotherapy visit?
Bring photo ID, your BC Services Card, your extended health insurance card, comfortable clothing and any relevant X-ray, MRI or ultrasound reports. For ICBC or WorkSafeBC, bring your claim number as well.
What do I need to bring for an ICBC physiotherapy appointment?
Bring your ICBC claim number, your adjuster's contact details and your Personal Health Number (PHN), along with your completed Patient Intake Form.
Which forms do I need for a WorkSafeBC claim?
You need the Patient Intake Form and the WorkSafeBC Intake Form. Please have your WorkSafeBC claim number and date of injury ready.
Is there an extra form for IMS or dry needling?
Yes. Along with the Patient Intake Form, you complete a Dry Needling / IMS Consent Form before your IMS or dry needling treatment.
What should I wear to a physiotherapy appointment?
Wear loose, comfortable athletic clothing. Shorts suit hip, knee and ankle visits, and a tank top or t-shirt suits neck, shoulder and back visits.
Do you direct bill my insurance?
We offer direct billing to most major extended health insurers, including Pacific Blue Cross, Sun Life, Canada Life, Manulife, Desjardins and Green Shield, and we bill ICBC and WorkSafeBC directly for approved treatment. You are responsible for any co-pay, deductible or balance your plan does not cover at the time of service.
What is your cancellation policy?
We ask for at least 24 hours' notice if you need to reschedule or cancel. Missed appointments or cancellations with less than 24 hours' notice may be subject to a late cancellation fee.
Where is the clinic and is there parking?
We are at 4041 200 St, Langley, BC V3A 1K8, at the corner of 200 St and 40 Ave in Brookswood. There is free parking at the back of the clinic, and the clinic is wheelchair accessible.
Ready to Start Your Recovery?
Book your physiotherapy, massage therapy, or active rehabilitation appointment online or call our Brookswood clinic at (236) 325-0660.
