This form must be completed prior to every appointment. Please click below to access the form and submit your responses.

COVID-19 Screening and Consent Form


The current restrictions imposed by the COVID-19 pandemic can impact our physical and mental health. At the Carleton Sport Medicine Clinic, we are committed to continuing to provide support to all our patients.

Along with in clinic care, we will continue to offer telehealth and tele-rehab appointments available through secure video and phone conferencing. We are accepting new patients as well as continuing our support of our current patients.

We are set-up to provide secure virtual care approved by our governing colleges for patients through OTN and MEDEO.

If you are not comfortable coming in to the clinic, you can feel secure and confident in your road to recovery by getting advice and guidance from our qualified, experienced providers through virtual care.

Virtual care appointments are available with Psychotherapists, Sport Psychiatry, Sport Medicine Physicians, Orthopedic Surgeons, Concussions experts and Physiotherapists.

Rates for virtual care appointments will be the same as in person care effective June 8th .

Click on the following links for more information:

Please direct your patients to call our clinic at (613) 520-3510 or email us at either;

Referrals can be directed:
Phone: 613-520-3510
Fax: 613-520-3974

We will continue to do our best to keep the community healthy and active during these unprecedented times.

Stay safe.