Is there anything I should do before I come for my initial visit?
Paperwork. Paperwork. Paperwork. There are a number of forms and questionnaires that you will need to fill out. Over the years, patients have unanimously agreed that they hate filling out forms. It is not a question of my wanting to irritate my patients with a clutch of forms, rather it is the fact that I am required to have these forms to fulfill my professional obligations to you.
I have made the forms so you can download and fill them out on a computer, or you can print them and fill them in by hand. If you don't fill out the forms before your appointment, I will have to take a fair bit of time during your appointment to complete the forms with you. I would rather you pay me for practicing physiotherapy than form filling. Please do not email the forms to me as email is not secure.
What should I wear or bring when I come for physiotherapy?
Please wear loose fitting, comfortable clothing when you come for physio. If you are coming because of pain in a lower extremity, please bring a pair of shorts to change into.
Do I need a doctor's referral before you can treat me?
You do not need a doctor's referral for me to assess and treat you. Depending on your insurance coverage you may need one before your insurance company will reimburse you for your physiotherapy. However, I can assess you and start treatment before you actually get the referral.
You can download a referral form to take to your doctor to sign here.
It is sometimes hard for me to get a baby sitter. May I bring my children with me to treatment?
Certainly. I know what it is like having children, I have two myself. Please feel free to bring your children with you.
Do you accept motor vehicle accident (MVA) claims?
Yes, I do accept MVA claims.
Why don't you accept OHIP?
Since the 1960s, there have been just over one hundred OHIP licenses for physiotherapy clinics in Ontario. No new licenses have been issued since the original allotment. These licenses are geographically based, meaning that a clinic may only operate in the region for which the license was issued. Occasionally, a license holder may sell the license, but historically, price is very high.
What are orthotics?
Custom-made orthotics are medical devices that support and gently reposition the heel, arch, muscles, ligaments, tendons, and bones in the feet, enabling these structures to work together to make each step you take pain-free. Unlike shoe inserts bought over the counter, custom-made orthotics are built from molds of your feet to meet your unique needs.
They are typically made with comfortable thermoplastic materials, which can be designed to fit in dress shoes, athletic shoes, boots, and skates.
Many people benefit from over the counter arch supports. However, while they will match some peoples' arches, others may find the support too high or low, or too far back or forward.
The most common reasons people use foot orthoses are for arch and heel pain, plantar fasciitis, shin splints, and achilles tendonitis. Orthotics may also be prescribed to aid in back pain, chronic hip pain, and knee problems like patellofemoral syndrome, patellar tendinitis, and iliotibial band friction syndrome (runner's knee). Orthotics can help these conditions by balancing the biomechanical inadequacies of your feet and legs.
Foot orthoses are made from casts or scans of the feet, and incorporate measurements of your foot and legs and limb length assessment, as well as your medical diagnosis.
Most patients benefit from a thermoplastic device, but the flexibility and rigidity can be varied by the prescription. Many insurance companies cover part or all of the costs of orthotics. may cover a portion of treatment costs.
Although some people adapt to foot orthoses very quickly, you should gradually adjust to them by wearing them a few hours more each day. You should not use them for extended activity, including sports, until you feel fully comfortable. The devices should be comfortable and used whenever you are doing the activity that would normally aggravate your condition. However, it is beneficial to also go barefoot for some period during the day when you are "healed" from the aggravating condition to aid in strengthening the foot & leg muscles. If you need foot orthoses, they can improve your overall comfort in your lower body, including your feet.
How often should I be wearing my orthotics?
Your orthotics should be worn every time you are on your feet – during work, at home and play. Orthotics are like eyeglasses, they work when they are worn. As soon as you take your orthotics out of your shoes or take your shoes off your feet, the stress and discomfort you experienced before wearing your orthotics is likely to return.
Does the effectiveness of my orthotics rely on the type of shoes I wear?
Orthotics are most effective in shoes that are constructed well, fit properly and are in good condition. It is best to bring in your shoes when your health care practitioner is fitting you for orthotics. Knowing the type of footwear you wear the most will help your practitioner prescribe the right style of orthotics for your lifestyle.
It is quite normal for some practitioners to prescribe two pairs of orthotics to patients (ie. Dress and Sport). When shopping for new shoes, it is also best to bring your orthotics with you for fitting purposes.
What do you recommend if the orthotics are hurting my feet?
During the first few weeks of wearing your orthotics, you may experience aches and pains in your feet and legs. This is normal and is an indication that your orthotics are working. Your body has been conditioned to accommodate feet that do not function properly; as a result, it may need time to adjust.
If your discomfort persists beyond a few weeks, please contact your health care practitioner, your orthotics may simply need a minor adjustment.
What are your return policies on orthotics & shoes?
Your orthotics should fit like a glove and improve your symptoms from two weeks of pickup. If they are not comfortable within this time, please call us for an appointment and we will make it right.
You have 30 days from the date of pickup to return orthotics for full refund.
After 30 days, there is a $35.00 fee to modify your orthotics.
Shoes can only be returned, or exchanged ONCE within 30 days of pickup. Additional exchanges will be subject to a $20.00 handling feeShoes must be in like new, unmarked and complete with original intact box. If shoes are marked, or appear worn or are missing their original box, they cannot be returned. Please be sure your shoes fit before leaving our office.
How long will it take to get my orthotics?
Orthotics usually take 2 weeks to arrive from order date unless otherwise specified. Shoes may take longer if backordered.
RatesPhysiotherapy RatesInitial Assessment$100.00Physiotherapy Treatment$60.00OrthoticsGait & Biomechanical Assessment$100.00Customized Orthotics$400.00Customized Orthopaedic Shoes$550.00Massage Therapy Rates30 minutes$50.0045 minutes$60.0060 minutes$80.0090 minutes$115.00
(Actually, no one has ever asked us this one, but it is still important.)
Privacy of personal information is an important principle to my Clinic. I am committed to collecting, using and disclosing personal information responsibly and only to the extent necessary for the goods and services I provide. I also try to be open and transparent as to how I handle personal information. This document describes my privacy policies.
WHAT IS PERSONAL INFORMATION?
Personal information is information about an identifiable individual. Personal information includes information that relates to their personal characteristics (e.g., gender, age, income, home address or phone number, ethnic background, family status), their health (e.g., health history, health conditions, health services received by them) or their activities and views (e.g., religion, politics, opinions expressed by an individual, an opinion or evaluation of an individual). Personal information is to be contrasted with business information (e.g., an individual’s business address and telephone number), which is not protected by privacy legislation.
WHO I AM
I am the sole practitioner, practicing under my name, Telma Grant, and am working out of Courtice Physiotherapy with two support staff. I use a number of consultants and agencies that may, in the course of their duties, have limited access to personal information I hold. These include computer consultants, office security and maintenance, bookkeepers and accountants, website managers, cleaners and lawyers. I restrict their access to any personal information I hold as much as is reasonably possible. I also have their assurance that they follow appropriate privacy principles.
I COLLECT PERSONAL INFORMATION: PRIMARY PURPOSES
Like all physiotherapists, I collect, use and disclose personal information in order to serve my clients. For my clients, the primary purpose for collecting personal information is to provide physiotherapy treatment. For example, I collect information about a client’s health history, including their family history, physical condition and function and social situation in order to help me assess what their health needs are, to advise them of their options and then to provide the health care they choose to have. A second primary purpose is to obtain a baseline of health and social information so that in providing ongoing health services I can identify changes that are occurring over time. It would be rare for me to collect such information without the client’s express consent, but this might occur in an emergency (e.g., the client is unconscious) or where I believe the client would consent if asked and it is impractical to obtain consent (e.g., a family member passing a message on from my client and I have no reason to believe that the message is not genuine).
About Members of the General Public Telma Grant,
For members of the general public, my primary purposes for collecting personal information is to provide notice of special events (e.g., a seminar or conference) or to make them aware of physiotherapy services in general or my clinic in particular. For example, while I try to use work contact information where possible, I might collect home addresses, fax numbers and email addresses. I try to obtain consent before using any such personal information, but where this is not, for any reason, possible, I will upon request immediately remove any personal information from my distribution list.
On my website I only collect, with the exception of cookies, the personal information you provide and only use that information for the purpose you gave it to me (e.g., to respond to an email message, to register for a course, to subscribe to my newsletter). Cookies are only used to help you navigate my Website and are not used to monitor you.
About Contract Staff, Volunteers and Students
For people who are contracted to do work for me(e.g., temporary workers), my primary purpose for collecting personal information is to ensure I can contact them in the future (e.g., for new assignments) and for necessary work-related communication (e.g., sending out paycheques, year-end tax receipts). Examples of the type of personal information I collect for those purposes include home addresses and telephone numbers. It is rare for me to collect such information without prior consent, but it might happen in the case of a health emergency (e.g., a SARS outbreak) or to investigate a possible breach of law (e.g., if a theft Ire to occur in the clinic). If contract staff, volunteers or students wish a letter of reference or an evaluation, I will collect information about their work related performance and provide a report as authorized by them.
I Collect Personal Information: Related and Secondary Purposes
Like most organizations, I also collect, use and disclose information for purposes related to or secondary to my primary purposes. The most common examples of my related and secondary purposes are as follows:
To invoice clients for goods or services that Ire not paid for at the time, to process credit card payments or to collect unpaid accounts.
To advise clients that their product or service should be reviewed (e.g., to ensure a product is still functioning properly and appropriate for their then current needs and to consider modifications or replacement).
To advise clients and others of special events or opportunities (e.g., a seminar, development of a new service, arrival of a new product) that I have available.
My clinic reviews client and other files for the purpose of ensuring that I provide high quality services, including assessing the performance of my staff. In addition, external consultants (e.g., auditors, lawyers, practice consultants, voluntary accreditation programs) may on my behalf do audits and continuing quality improvement reviews of my Clinic, including reviewing client files and interviewing my staff.
Physiotherapists are regulated by the College of Physiotherapists of Ontario who may inspect my records and interview my staff as a part of their regulatory activities in the public interest. In addition, as professionals, I will report serious misconduct, incompetence or incapacity of other practitioners, whether they belong to other organizations or my own. Also, my organization believes that it should report information suggesting serious illegal behaviour to the authorities. External regulators have their own strict privacy obligations. Sometimes these reports include personal information about my clients, or other individuals, to support the concern (e.g., improper services). Also, like all organizations, various government agencies (e.g., Canada Customs and Revenue Agency, Information and Privacy Commissioner, Human Rights Commission, etc.) have the authority to review my files and interview my staff as a part of their mandates. In these circumstances, I may consult with professionals (e.g., lawyers, accountants) who will investigate the matter and report back to us.
The cost of some goods/services provided by the organization to clients is paid for by third parties (e.g., OHIP, WSIB, private insurance, Assistive Devices Program). These third-party payers often have my consent or legislative authority to direct me to collect and disclose to them certain information in order to demonstrate client entitlement to this funding.
Clients or other individuals I deal with may have questions about my goods or services after they have been received. I also provide ongoing services for many of my clients over a period of months or years for which my previous records are helpful. I retain my client information for a minimum of ten years after the last contact to enable me to respond to those questions and provide these services (my regulatory College also requires me to retain my client records).
If I were to sell my clinic or its assets, the purchaser would want to conduct a "due diligence" review of the clinic’s records to ensure that it is a viable business that has been honestly portrayed to the purchaser. This due diligence may involve some review of my accounting and service files. The purchaser would not be able to remove or record personal information. Before being provided access to the files, the purchaser must provide a written promise to keep all personal information confidential. Only reputable purchasers who have already agreed to buy the organization’s business or its assets would be provided access to personal information, and only for the purpose of completing their due diligence search prior to closing the purchase.
You can choose not to be part of some of these related or secondary purposes (e.g., by declining to receive notice of special events or opportunities, by paying for my services in advance). I do not, hwever, have much choice about some of these related or secondary purposes (e.g., external regulation).
Protecting Personal Information
I understand the importance of protecting personal information. For that reason, I have taken the following steps:
Paper information is either under supervision or secured in a locked or restricted area.
Electronic hardware is either under supervision or secured in a locked or restricted area at all times. In addition, passwords are used on computers. All of my cell phones are digital, as such signals are more difficult to intercept.
Paper information is transmitted through sealed, addressed envelopes or boxes by reputable companies.
Electronic information is transmitted either through a direct line or is anonymized or encrypted.
External consultants and agencies with access to personal information must enter into privacy agreements with us.
Retention and Destruction of Personal Information
I need to retain personal information for some time to ensure that I can answer any questions you might have about the services provided and for my own accountability to external regulatory bodies. However, I do not want to keep personal information too long in order to protect your privacy.
I keep my client files for about ten years. My client and contact directories are much more difficult to systematically destroy, so I remove such information when I can if it does not appear that I will be contacting you again. However, if you ask, I will remove such contact information right away. I keep any personal information relating to my general correspondence (e.g., with people who are not clients) newsletters, seminars and marketing activities for about six months after the newsletter ceases publication or a seminar or marketing activity is over.
I destroy paper files containing personal information by shredding. I destroy electronic information by deleting it and, when the hardware is discarded, I ensure that the hard drive is physically destroyed. Alternatively, I may send some or the entire client file to my client.
YOU CAN LOOK AT YOUR INFORMATION
With only a few exceptions, you have the right to see what personal information I hold about you. Often all you have to do is ask. I can help you identify what records I might have about you. I will also try to help you understand any information you do not understand (e.g., short forms, technical language, etc.). I will need to confirm your identity, if I do not know you, before providing you with this access. I reserve the right to charge a nominal fee for such requests.
If there is a problem I may ask you to put your request in writing. If I cannot give you access, I will tell you within 30 days if at all possible and tell you the reason, as best I can, as to why I cannot give you access.
If you believe there is a mistake in the information, you have the right to ask for it to be corrected. This applies to factual information and not to any professional opinions I may have formed. I may ask you to provide documentation that my files are wrong. Where I agree that I made a mistake, I will make the correction and notify anyone to whom I sent this information. If I do not agree that I have made a mistake, I will still agree to include in my file a brief statement from you on the point and I will forward that statement to anyone else who received the earlier information.
DO YOU HAVE A QUESTION?
I act as my own Information Officer, I can be reached at:
Telma Grant Physiotherapist
234 King Street East
Bowmanville, ON, L1C 1P5
I will attempt to answer any questions or concerns you might have.
If you wish to make a formal complaint about my privacy practices, you may make it in writing to me. I will acknowledge receipt of your complaint; ensure that it is investigated promptly and that you are provided with a formal decision and reasons in writing.
If you have a concern about the professionalism or competence of my services I would ask you to discuss those concerns with us. However, if I cannot satisfy your concerns, you are entitled to complain to my regulatory body:
College of Physiotherapists of Ontario
230 Richmond St. W,
Toronto, ON M5V 1V6
General email: firstname.lastname@example.org
This policy is made under the Personal Information Protection and Electronic Documents Act. That is a complex Act and provides some additional exceptions to the privacy principles that are too detailed to set out here. There are some rare exceptions to the commitments set out above.
For more general inquiries, the Privacy Commissioner of Canada oversees the administration of the privacy legislation in the private sector. The Commissioner also acts as a kind of ombudsman for privacy disputes. The Privacy Commissioner can be reached at:
112 Kent Street | Ottawa, Ontario | K1A 1H3
Phone (613) 995-8210 | Toll-free 1-800-282-1376
Fax (613) 947-6850 | TTY (613) 992-9190
- The information contained on this web site Is Not a Substitute for Medical Advice: THIS WEB SITE IS NOT DESIGNED TO, AND DOES NOT, PROVIDE MEDICAL ADVICE. All content ("Content"), including text, graphics, images and information available on or through this Web site are for general informational purposes only. The Content is not intended to be a substitute for professional medical advice, diagnosis or treatment. NEVER DISREGARD PROFESSIONAL MEDICAL ADVICE, OR DELAY IN SEEKING IT, BECAUSE OF SOMETHING YOU HAVE READ ON THIS WEB SITE. NEVER RELY ON INFORMATION ON THIS WEB SITE IN PLACE OF SEEKING PROFESSIONAL MEDICAL ADVICE.
- Telma Grant Not Liable: Telma Grant IS NOT RESPONSIBLE OR LIABLE FOR ANY ADVICE, COURSE OF TREATMENT, DIAGNOSIS OR ANY OTHER INFORMATION, THAT YOU OBTAIN THROUGH THIS SITE.
- Confirm Information With Other Sources and Your Doctor: You are encouraged to confer with your doctor with regard to information contained on or through this Web site. After reading articles or other Content from this Web site, you are encouraged to review the information carefully with your professional healthcare provider.
- Call Your Doctor or 911 in Case of Emergency: If you think you may have a medical emergency, call your doctor or 911 immediately. DO NOT USE THIS WEB SITE FOR MEDICAL EMERGENCIES.
- No Endorsements: Telma Grant does not recommend or endorse any specific tests, products, procedures, physicians, clinics or other information that may be mentioned or referenced on this Web site.
- Rely at Your Own Risk: RELIANCE ON ANY INFORMATION ON THIS WEB SITE IS SOLELY AT YOUR OWN RISK.
HoursPhysiotherapy HoursOffice OpenPatients SeenMonday9:001:30-5:30Tuesday12:001:30-5:30Wednesday12:002:30-4:30Thursday12:001:30-5:30Friday9:00-12:00Massage Therapy HoursHoursMondayBy appointmentTuesdayBy appointmentWednesdayBy appointmentThursdayBy appointmentFridayBy appointmentReflexology HoursBy appointment with Shannon
Why should I choose Therabands instead of some other resistance band?
TheraBands are the only resistive exercise bands endorsed by the American Physical Therapy Association (APTA).
Can Therabands be used in a swimming pool?
Therabands can be used in a pool, but the chlorine will cause them to deteriorate more quickly. After each use in the pool, rinse the bands in tap water and hang them up to dry.
Is it okay to tie Therabands to a door knob or close them in a door?
We don't recommend doing this. Tying the exerciser to a door knob or closing them in a door can lead to early breaking. To prolong the life of your Therabands, use the proper accessories (Theraband door anchor, exercise handle, and assist device) and avoid poking with jewelry, fingernails, or other sharp objects.
Need to grasp your bands or tubing? Use the Theraband exercise handles or assist device. To connect to the arms or legs, use the Theraband extremity strap.
When should I replace my bands or tubing?
Before use, always inspect your Therabands for signs of wear, such as small tears, abrasions or cracks. These small tears usually occur at the point where the band or tubing connects to an attachment device, so check that carefully. If you do find visible signs of wear, replace the bands or tubing. Otherwise, they should be safe to use.
How long do Therabands last?
This depends (Don't you love definite answers?). With proper care and use, resistive bands and tubing can last for a very long time.
When kept in a cool, dark environment, the bands and tubing "keep" for years. Exposure to temperature extremes, chlorine, and sunlight, however, decrease their "shelf-life."
How you use the Therabands also makes a difference. Although Therabands have been tested at over 10,000 repetitions without any breakage, they are subject to normal wear and tear. Bands and tubing that are heavily used - for instance, in a physical therapy clinic - might need to be replaced every 1-2 months.
How much force is produced when Therabands are stretched?
The force is directly related to amount of stretch. Each color provides a certain amount of resistance at the same percent elongation. For example, a 1-foot piece stretched to 2-feet (100% elongation) has the same force as a 2-foot piece of the same color stretched to 4-feet.
When you increase band resistance level, you increase that set amount of force. So, when you stretch two bands, one yellow and the other gold, to 100% elongation, the yellow band will produce 3 pounds of force, and the gold, a walloping 21.5 pounds! Refer to our resistance level chart for detailed information.
How far can I stretch the bands or tubing?
It's probably best not to stretch beyond 300% (with a 1 foot piece, this would mean 3 feet). If you stretch more than 500% (for example, stretching a 1 foot piece to 6 feet), the band/tubing is more likely to break. Resistance also increases sharply after 500%.
How do I know when to move up a resistance level?
As you use the band, you will find your muscle strength and endurance improving. The exercises become easier and easier to do. The time to move to a more resistant band is when you are ready for more challenge. This increases the intensity of the exercise.
What resistance level should I get?
The important thing is to start with a resistance level suitable for your current level of fitness. If you're not sure, the light and heavy resistance 3-packs offer a choice of resistances so you can experiment to find the best fit.
Should I get standard or latex-free Therabands?
Latex-free bands were developed for people with latex sensitivities. There's no special benefit to going with latex-free instead of latex - so long as you are not allergic to latex, of course! Resistances are roughly comparable either way, though the latex bands are broader and the latex-free somewhat thicker. Care would be the same in either case; longevity too.
What are Theraband bands and tubing made of?
Standard Theraband resistive bands and tubing are made of natural rubber latex. Latex-free Therabands are made of synthetic rubber.
Would bands or tubing work better for me?
Generally, whether you get bands or tubing is a matter of personal preference. Both behave in similar ways and demonstrate similar properties in progressive resistance. However, bands do allow more surface area to be covered during some resistive exercises.
How do Therabands work? What are they good for?
Therabands work on strength, range of motion, and improving the cooperation of muscle groups. They are nearly ideal fitness gear, being versatile, inexpensive, lightweight and portable. With Therabands, you can indeed tuck a gym in your pocket!