ABOUT Founder Testimonials FAQs Locations Facilities ICBC

Registered Physiotherapists Dr. Woo, Family Physician and Pain Specialist (MD) Dry Needling Explained/FAQs Complex Pain Resolution Concussion Recovery / PCS Rehab, Training & Kinesiology Clinical Pilates Running Assessment Allied Health Practitioners

Performance Coaching Jack Miller RCC Sylvia Rayner RCH Stuart Anderson Performance Psych. HPC Performance & Well-being Consulting

Jack Miller, RCC CCC Maryam Gholami, RCC Chelsea McGowan, RCC Egbert Langstraat, M.Psych.

INFO ABOUT Founder Testimonials FAQs Locations Facilities ICBC Physiotherapy & Physical Medicine Registered Physiotherapists Dr. Woo, Family Physician and Pain Specialist (MD) Dry Needling Explained/FAQs Complex Pain Resolution Concussion Recovery / PCS Rehab, Training & Kinesiology Clinical Pilates Running Assessment Allied Health Practitioners

We provide a unique integration of physical and mental therapies for your optimal performance and wellness

Performance Coaching Performance Coaching Jack Miller RCC Sylvia Rayner RCH Stuart Anderson Performance Psych. HPC Performance & Well-being Consulting Psych. Counselling Jack Miller, RCC CCC Maryam Gholami, RCC Chelsea McGowan, RCC Egbert Langstraat, M.Psych.

Referral

Patient / Client Name *

First Name

Last Name

Patient Contact Info *

Subject *

Reason for Referral *

Referring Doctor / Practitioner

First Name

Last Name

Contact info

Treatment Options

Please select service(s)

Physiotherapy / IMS / Dry Needling

Temperomandibular / Vestibular Rehabiliitation

Osteopathy

Clinical Counselling

Performance Coaching

Movement Analysis and Exercise Prescription

Dynamic Gait and Foot Analysis

NFDN™ (Neuro-Functional Dry Needling)

Orthopaedic Brace / Orthotics

Screening for Dancers

Dietetics

Thank you!

info@performanceclinic.ca

Tel 604-828-2606 • Fax Referrals 604-608-3295

677 davie street, vancouver, bc v6b 2g6

1286 cartwright street, vancouver, bc v6H 3R9

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We acknowledge that we live and work on the unceded territories of the Musqueam, Squamish and Tsleil-Waututh First Nations.