Is CalendarForm a medical records system?

No. It handles booking and pre-visit forms. Keep clinical notes in your records system.

Can patients reschedule?

They cancel with the link in their email and book a new time.

Is a free patient intake form enough for physiotherapy clinics in Canada?

For most small physiotherapy clinics, yes. You get 250 form submissions and 100 bookings free every month; after that, $5 buys 2,000 more submissions or 500 bookings, and packs never expire. Prices on your page can be in CAD.

Does the form follow PIPEDA?

The form collects only the questions you add and shows your consent line. Following PIPEDA is still your job: ask only what you need, say why, and link your privacy notice.

Can I write the form in English?

Yes. Questions, options and the thank-you message are free text, so you can write them in English and French.

Free forms › Canada

Free patient intake form for physiotherapy clinics in Canada

A physio clinic in Canada needs a patient intake form that asks the right questions, shows prices in CAD, uses +1 phone numbers and fits PIPEDA. CalendarForm gives you that form free for 250 submissions a month, joined to a booking page that shows times in America/Toronto (UTC−5, UTC−4 during daylight saving).

Make this form free See a demo booking page

What to put on a patient intake form in Canada

Full name
Email
What brings you in and when did it start?
Pain level today (0–10)
Current medication
GP or referring doctor (optional)
Consent to assessment
Phone, in the local format (for example +1 (416) 555-0123)
Date of birth, written YYYY-MM-DD in Canada
Preferred language (English and French)
Consent: "I agree to the physio clinic using these details for my booking, as set out in the privacy notice (PIPEDA)"

Show the price as text on the booking page, for example "C$45 for a first assessment, pay by card and Interac debit". CalendarForm does not take payment itself, so customers pay you the way they already do in Canada.

What physiotherapy clinics usually let customers book

Initial assessment: a 1-to-1 appointment, 60 min
Follow-up: a 1-to-1 appointment, 30 min
Sports massage: a 1-to-1 appointment, 45 min

For physiotherapy clinics in Canada, CalendarForm gives a physio, chiropractor or small wellness clinic an appointment page with separate services for first assessments and follow-ups, plus a pre-visit form so the first session starts with the history already in hand.

Make the initial assessment longer than follow-ups.

Set minimum notice so you can prepare for new patients.

Do not collect information you do not need.

Canada at a glance

Time zone	America/Toronto: UTC−5, UTC−4 during daylight saving
Currency	CAD ($), written like C$45
Phone format	+1 (416) 555-0123
Date format	YYYY-MM-DD (DD/MM/YYYY and MM/DD/YYYY are also common)
Week	starts Sunday; weekend is Saturday and Sunday
How customers pay	card, Interac debit and Interac e-Transfer
Languages to consider	English and French
Privacy law	PIPEDA

Privacy: what PIPEDA means for this form

Nationally, PIPEDA is the federal private-sector privacy law: get meaningful consent and use the information only for the reason you gave.

This patient intake form asks about health, which most privacy laws treat as sensitive. Ask only what the clinician really needs and say why next to the question.

CalendarForm keeps each business's answers separate, lets you export them to CSV, and does not use them for anything else. Link your own privacy notice in the form's description.

Booking times in Canada

Canada changes its clocks for daylight saving, so a Initial assessment at 18:00 stays at 18:00 local time all year. CalendarForm skips times that do not exist on the night the clocks go forward.

Customers booking from abroad still see the time in America/Toronto, with the zone printed next to it, and their confirmation email repeats it.

Set it up in four steps

Sign up free, pick the closest business type, and rename the starter form to "Patient intake form".
Set the time zone to America/Toronto and add your opening hours.
Edit the questions above, add the PIPEDA consent line, and attach the form to your booking page.
Share your link. Each booking sends an email confirmation with a cancel link, and a reminder 24 hours before.

Questions

Is CalendarForm a medical records system?: No. It handles booking and pre-visit forms. Keep clinical notes in your records system.
Can patients reschedule?: They cancel with the link in their email and book a new time.
Is a free patient intake form enough for physiotherapy clinics in Canada?: For most small physiotherapy clinics, yes. You get 250 form submissions and 100 bookings free every month; after that, $5 buys 2,000 more submissions or 500 bookings, and packs never expire. Prices on your page can be in CAD.
Does the form follow PIPEDA?: The form collects only the questions you add and shows your consent line. Following PIPEDA is still your job: ask only what you need, say why, and link your privacy notice.
Can I write the form in English?: Yes. Questions, options and the thank-you message are free text, so you can write them in English and French.