Lisa's - Holistic Rehab & Neurofeedback Inc
  • Menu
  • Home
  • Our Services
    • Neurofeedback
    • Coloured Glasses
    • Reading Help
    • PoNS
    • Physiotherapy
    • Acupuncture
    • Kinesiology
    • Nutrition
  • Neuro Rehab
    • Neuroplasticity
  • Forms
  • Team
  • Workshops
  • Contact
Book Online (902) 580-7342

Forms for all

  • Client rights form/Droits et responsabilités du client
  • Consent to Rehab Services/Consentement aux services de réadaptation
  • Services price list/Liste de prix
  • Email Consent/Formulaire de consentement de courriel
  • Consent form (if a third party is paying) Formulaire de consentement (si l'assurance paie)

Occupational Therapy

Evaluation forms for Children

  • OT child intake form
  • Reflex checklist
  • Child Sleep checklist

Evaluation forms for Adults

  • OT adult intake form
  • BDI
  • BAI
  • Sleep checklist

Physiotherapy

  • Physiotherapy client intake form

Kinesiology

  • Kinesiology Consent
  • Kinesiology intake

Acupuncture

  • Informed consent for acupuncture
  • Acupuncture intake and treatment form

Neurofeedback Forms

  • Consent for Neurofeedback.
  • How to prepare for your qEEG

PoNS Forms

  • Fatigue Severity Scale
  • Activities specific Balance Confidence Scale
  • NeuroQoL
Winner - Black Entrepreneur of the Year 2021 Black Owned Business

Clinic address main office:

397 Bedford Hwy, Suite 310,
Halifax, NS,
B3M 2L3
(inside Many Hats of the Bedford Basin Farmer's Market)

Lisa's - Holistic Rehab & Neurofeedback Inc. Mailing Address

PO Box 28034 Tacoma
Dartmouth, NS
B2W 6E2

MON - FRI: 8:30AM - 4:30PM

SAT: By Appointment SUN: Closed

EVENINGS: By Appointment

Employee Webmail Privacy Policy
Visa MasterCard Debit Financing Available - Apply Now Medicard

Copyright 2018 Lisa's - Holistic Rehab & Neurofeedback Inc. All rights reserved.

Website Hosted By LinkNow&trade Media