Physiotherapists in Canada

In most provinces, including Ontario, British Columbia, and Alberta, you can see a physiotherapist directly without a doctor's referral. This is called "direct access." However, some extended health insurance plans may require a doctor's referral for coverage, so check with your insurer before your first appointment.

Coverage varies significantly by province. In Ontario, OHIP covers physiotherapy for patients 65 and older, those under 19, recent hospital discharges (within 12 months), and those on social assistance. In BC and Alberta, some community physiotherapy clinics offer publicly funded services. Most working Canadians access physiotherapy through employer-sponsored extended health benefits.

The number of sessions depends on your condition, its severity, and your recovery goals. A recent injury usually needs fewer sessions than a long-standing condition or rehabilitation after surgery. Your physiotherapist will develop a personalized treatment plan after your initial assessment and adjust it as you progress.

Wear comfortable, loose-fitting clothing that allows your physiotherapist to assess and treat the affected area. For lower body issues, shorts or athletic pants are ideal. For shoulder or back problems, a tank top or t-shirt works well. Avoid jeans and restrictive clothing.

Your first assessment is usually longer than a follow-up visit. The physiotherapist will review your medical history, discuss your symptoms and goals, perform a physical examination including range of motion and strength tests, and develop a treatment plan. You may also receive some initial treatment during this first visit.

Fees vary by province and clinic, and a first assessment usually costs more than a follow-up visit. Many extended health insurance plans cover physiotherapy up to an annual limit. Some clinics offer direct billing to insurance providers.