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ABOUT US
Our Mission
Our Team
Our Services
Our Facilities
FITNESS
Personal Training
Strength & Conditioning
Small Group Training
YouthSport
Mat Pilates
REHAB
Physiotherapy
ICBC Physiotherapy
Performance Rehab
The ACL Lab
TESTS
VO2 Max Test
Lactate Threshold
Resting Metabolic Rate (RMR)
CONSULTING
Sports Team Optimization
Occupational Protocols
CONTACT US
Get In Touch
Careers
BLOG
ACL Lab – Testing Referral
ACL Testing Referral
Step
1
of
2
50%
Client Contact Information
Name
*
First
Last
Date of Birth
*
Gender
*
Please Choose
Male
Female
X
Client Email
*
Client Phone Number
*
Referring Practitioner
Referring Practitioner
*
Practitioner Phone Number
*
Practitioner Email
*
Practioner Type
*
Please Choose
Orthopaedic Surgeon
GP
Physiotherapist
When is the clients next surgeon check in (3,6,9 or 12 months)?
Surgery Information
Surgery Date
*
Injured Side
*
Please Choose
Left
Right
Graft Type
*
Associated Pathology
PCL, Meniscus etc..... Was this repaired in surgery?
Any other information of note for this client
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