Belleville Integrative Health Centre (BIHC)

Belleville Integrative Health Centre (BIHC)

613-966-9500

info@bihc.ca

Monday
8:00 am - 7:00 pm
Tuesday
7:00 am - 6:00 pm
Wednesday
8:00 am - 7:00 pm
Thursday
7:00 am - 6:00 pm
Friday
8:00 am - 5:00 pm
Saturday
CLOSED
Sunday
CLOSED
  • Home
  • Virtual Health
      • What is Virtual Health
      • How it Works
      • Commonly Asked Questions
      • Book an Appointment
      • Appointment Check-in
      • Virtual Health Patient Forms
  • Our Services
      • Chiropractic & Rehabilitation
      • Concussion Management
      • Physiotherapy
      • Vestibular Rehabilitation
      • Chiropractic & Pregnancy
      • Chiropractic for Children
      • Pelvic Health Physiotherapy
      • Registered Massage Therapy
      • Registered Kinesiology
      • Medical Acupuncture
      • Active Release Technique
      • Graston Technique®
      • Strength & Conditioning
      • Kinesio Taping
      • Custom Braces
      • Custom Orthotics
  • Our Team
  • Women’s Health
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  • Products
      • Biofreeze
      • Bellies Inc
      • Custom Braces
      • Custom Orthotics
      • PostureMedic
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  • Contact
  • What is Virtual Health
  • How it Works
  • Commonly Asked Questions
  • Book an Appointment
  • Appointment Check-in
  • Virtual Health Patient Forms

Virtual Health Patient Forms

Please take the time to complete the following forms prior to your initial virtual visit.

Virtual Health Patient Intake Form

Virtual Health Personal Disclosure Form

Virtual Health Chiropractic Consent Form

Virtual Health Physiotherapy Consent Form

Your practitioner may request additional forms to be completed upon booking your appointment. They will specify which additional forms to complete found here.

Symptom Monitor and Pain Questionnaire

Vestibular Assessment Form

Rivermead Concussion Questionnaire

Dizziness Handicap Inventory (DHI)

Patient Specific Functional Scale (PSFS)

Quick DASH

Lower Extremity Functional Scale (LEFS)

Neck Disability Index (NDI)

Roland-Morris Questionnaire

Oswestry Disability Index

We're here to help!

Book your appointment with a representative directly.

(613) 966-9500 info@bihc.ca

  • 777 Bell Blvd.
  • Belleville, ON K8N 4Z5
  • TEL: 613-966-9500
  • FAX: 613-966-9590
  • Working together
  • for your health
Belleville Integrative Health Centre (BIHC)
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