Apply for Funding

Community Pelvic Health Program Initial Assessment Funding Request

Must be completed by MD, RN, RM, PT, OT

Community Pelvic Health Program Treatment Plan Funding Request

Must be completed by treating Pelvic Health PT post initial assessment

Please Email to lauren@physicalrehabsociety.ca or Fax to 778-910-4605

Apply as a Clinic/Provider

Clinic Application & Agreement for Network Participation

Must be completed by Clinic Director/Owner

Please e-mail to lauren@physicalrehabsociety.ca