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If you visit our clinic for the first time, we will record your health history and insurance information. For your convenience, You may fill out these forms before you come(download the form below). That will help us greatly.  Also please review the consent form for assessment and treatment as well, you will be asked to sign it in our clinic. Thank you.

 

Any information you provide to us will be kept confidentially and only for our clinic’s use. We will not release any of your information without your written consent.

Health History
Client Clinic Form.jpg
Consent
Consent Form.jpg
Insurance Information
Client Clinic Form (INSURANCE INFORMATIO
Clinic Hour

Mon: 10:00 am ~ 6:00 pm

Tue:  10:00 am ~ 6:00 pm

Wed: 10:00 am ~ 6:00 pm

Thu:  10:00 am ~ 6:00 pm

Fri:    10:00 am ~ 6:00 pm

Sat:   10:00 am ~ 5:00 pm

Sun:  By appointment

Find us
Contact us

8787 Woodbine Ave, Unit 226

Markham, ON, L3R 9S2

qymassage@gmail.com

Tel: 905-940-8892

© 2010-2025 by QY Massage. 

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