Make a Referral

rehab servicesKyi Rehabilitation looks forward to meeting your needs. Please contact our Office Manager, Emma O’Leary, by phone 604-733-0411 or email admin@kyirehab.com to schedule an assessment.

Emma will request the following information to help complete the booking process. Please assemble as much of this information as possible prior to contacting Emma to expedite the booking process for you.

Referral Information
• Name of your organization
• Date report requested
• Lawyer
• Contact person
• Phone
• Email
• Address
• File or claim number
Services requested

Patient information
• Patient name
• Date of birth
• Address
• Phone number
• Date of injury
• Diagnosis / current symptoms
• Pre-accident work status: job titles, full-time/part-time/not working
• Post-accident work status: job titles, full-time/part-time/not working
• Whether an interpreter is required