Community (OHIP) Physiotherapy Clinic Program
OHIP Physiotherapy
What is Community (OHIP) Physiotherapy Clinic Program?
The MOHLTC’s Community Physiotherapy Program was designed to provide eligible patients access to Physiotherapy Services. In short, this program will simply make our services available to those who might not have had access to them previously. However, please note that the “Community Physiotherapy Program” is for the treatment of a specific acute condition but not for complex, chronic conditions or the ongoing treatment of a chronic or long-term problem.
More specifically, the “Community Physiotherapy Program” is structured under an “Episode of Care” (EOC) model that provides time-limited, goal-oriented physiotherapy treatment for a specific injury. The objective is to rehabilitate physical function and/or promote mobility when that function and/or mobility has been impaired as a result of a debilitating event or disease, pain, injury or surgical procedure. An EOC must not be provided concurrently with any other funding source, such as WSIB and automotive or extended health insurance.
Outcome measures will be taken both on enrolment and at discharge. As a patient completes an EOC, a discharge report will be sent to the referring physician or nurse practitioner.
What is Community (OHIP) Physiotherapy Clinic Program?
The MOHLTC’s Community Physiotherapy Program was designed to provide eligible patients access to Physiotherapy Services. In short, this program will simply make our services available to those who might not have had access to them previously. However, please note that the “Community Physiotherapy Program” is for the treatment of a specific acute condition but not for complex, chronic conditions or the ongoing treatment of a chronic or long-term problem.
More specifically, the “Community Physiotherapy Program” is structured under an “Episode of Care” (EOC) model that provides time-limited, goal-oriented physiotherapy treatment for a specific injury. The objective is to rehabilitate physical function and/or promote mobility when that function and/or mobility has been impaired as a result of a debilitating event or disease, pain, injury or surgical procedure. An EOC must not be provided concurrently with any other funding source, such as WSIB and automotive or extended health insurance.
Outcome measures will be taken both on enrolment and at discharge. As a patient completes an EOC, a discharge report will be sent to the referring physician or nurse practitioner.
Patient Eligibility for Publicly Funded Physiotherapy
To be eligible for Physiotherapy Services at SPINEgroup’s Community Physiotherapy Clinic under the Ontario Ministry of Health and Long-Term Care’s (MOHLTC) Publicly Funded “Community Physiotherapy Program“, a person must, for each “Episode of Care” (EOC) meet the following criteria:
√ be insured under the Ontario Health Insurance Plan (OHIP) and referred by a physician or nurse practitioner based on an assessment that the person requires Physiotherapy Services and is within one of the following categories:
- √ aged 65 years and older; OR
- √ aged 19 years and younger; OR
- √ any age if recently discharged as an inpatient of a hospital (at least one night stay) and a physician on the medical staff of the hospital determines that the insured person needs physiotherapy services that are directly connected to the condition, illness, or injury for which the insured person was admitted to the hospital; OR
- √ be referred by a physician or nurse practitioner based on an assessment that the person requires Physiotherapy Services and be eligible for funding of services under the Ontario Disability Support Program (ODSP) or Ontario Works (OW) programs.
Enrolment Process:
Please note that there is a enrolment process for the publicly funded physiotherapy program.
Our enrolment process assists us with managing our waitlists and ensures quicker and equitable access to care for our community.
If we have not received a referral directly from your physician or nurse practitioner you must present in person for registration so that we can assist you with the process and ensure the program meets your individual needs.
If we have received a referral directly from your physician or nurse practitioner, the clinic will contact you, upon review of the referral to ensure eligibility. Note you may still be required to attend an in person enrolment prior to booking an appointment.
During the enrolment all prospective patients must provide the following prior to booking an appointment for their initial exam and physiotherapy treatment sessions:
- An original and valid referral from an Ontario physician or nurse practitioner for each “episode of care”. Please note that photocopies will not be accepted. Your physician’s name and billing number must be clearly legible on the referral. (You may wish to ask your physician to expedite this process by faxing us your referral)
- ODSP or OW recipients must present their member ID. A validation of your ID is required to confirm current eligibility.
- A valid Ontario Health Card (OHIP Card)
- Consent
- Patient Intake Forms and Outcome Measures
Wait Lists
Patient eligibility under the CPC Program is determined prior to patients being added to any Wait List. The Ministry of Health relies on CPCs to determine patient intake processes, eligibility screening, triage and local patient population accessing care. Consideration may or may not be given to patients seeking therapy that do not reside in the Central LHIN. To maintain a proper standard of care, note that certain virtual or remote OHIP enrolment is subject to a pre-existing relationship with a patient which would have included a prior in-person examination, plan of care and informed consent.
Please note that patient intake forms and consent forms are available for download on our website. Click here.
