Book with Algoma University

Book an Appointment

$ 99.00+ tax

Ergonomic Assessment

Fees will only be charged on completion of your session. Phzio will attempt to collect payment directly from your carrier providing you identify valid policy details.

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First Name

Last Name

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Birth Date

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Email Address

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Mobile Number

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Register a way to pay

The Ergonomic Assessment is $99.00. No charges are taken at this time, until the session has been completed. In case we can't direct bill your insurance or there is a co-payment required, we will use this information to collect payment.

Booking Confirmed

We have completed a secure capture of your payment option. You will only be charged on completion of your visit with your provider.

The next steps are recommended to ensure your provider has as much information as possible to provide effective care.

We highly recommend you complete these next steps and it should only take you a few minutes.

Gender

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Language Preference

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Address

Address (line 2)

City

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Emergency Information

Emergency Contact Name

Emergency contact missing

Emergency Number

Phone Number for emergency contact missing or invalid

Extra Info: Algoma University

Insurance Company

Policy Number

Member ID

Relationship to Policy Holder

Policy Holder Full Name

Policy Holder Birth Date

Set a Profile Picture

You can skip this step, but this assists your provider with in-session identification.

Connect with your phone, tablet or computer. You should receive an email with your appointment details. We will remind you via email and text message on the day of your appointment to join the session.

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