Corporate Wellness

Consent & Privacy Acknowledgement

Informed Consent

Please read each section carefully before proceeding to your wellness triage.

By proceeding, you consent to the collection and use of your personal information (including name, email, phone number, company affiliation, and health goals) by Corporate Your Physio Health and Wellness Triage for the purpose of connecting you with appropriate wellness and physiotherapy services. Your information will be kept strictly confidential and will not be shared with your employer or any third party without your explicit consent. All data is protected in accordance with applicable Canadian privacy legislation, including the Personal Health Information Act (PHIA) of Manitoba. You may withdraw your consent at any time by contacting our physiotherapy team directly.

Please print your full legal name as it appears on your employee record.

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I have read and understood the above consent information regarding the collection of my personal information, the nature of wellness guidance, and consent to physiotherapy assessment and treatment. I agree to proceed on this basis.