Dietitian Intake

Dietitian Intake Form

Please complete the form below prior to your appointment with Stephanie Boville, Registered Dietitian.

If you need to convert your height to cm or weight to kg, click these links:
Height Conversion  |  Weight Conversion

Virtual Dietitian Appointment

Here is the link for virtual appointments with Registered Dietitian, Stephanie Boville.  https://doxy.me/stephaniebovillenutrition

Please test the link prior to your appointment (“Pre-call Test” bottom left)

Dietitian Online Intake Form

“If athletes were given less care and more thought, the doctors might come up with some original ideas on why illness persists, why injury doesn’t clear up.

If more non-physicians – podiatrists and physiotherapists, for instance – could be induced to lend their ideas and talents, we might see a completely new approach to sports medicine.”

– Dr. George Sheehan (1975), long distance runner and one of the world’s first sports medicine physicians

Client doing ladder exercises for physiotherapy
Physiotherapist GRSM kitchener demonstrating proper exercise form
Client doing exercises with chiropractor
GRSM physiotherapist demonstrating proper exercise techniques

Osteoarthritis Centre of Excellence

A program to help people achieve their exercise and lifestyle goals when faced with knee and hip osteoarthritis (OA).

Platelet-Rich Plasma (PRP) Program

Platelet-Rich Plasma (PRP) injection is a procedure in which a sample of your blood is used to extract and concentrate your own growth factors, which are then injected back into your body part that is injured.

Sports Concussion Program

GRSM is committed to providing an efficient and comprehensive assessment and treatment of sport concussions in the high standard of care that GRSM is renowned for.

Acute Injuries Rapid Response

GRSM is committed to providing a Rapid Response in assessing and treating Acute Injuries that have been referred by Physicians.

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