New Patient Questionnaire


We’re looking forward to welcoming you to Avella Injury and Pain Management!

Before your first visit, please fill out our new patient questionnaire.

Download and print out the form from this page, and bring it in person to the Avella office.

Contact Us

5045 Mainway Unit 118

Burlington, ON L7L 5Z1

Phone: 905-315-7007

Fax: 289-714-2516


Business Hours

Monday – Friday
9:00 am to 5:00 pm

Avella Injury and Pain Management
All Rights Reserved

Disclaimer: The information on this website is for educational or informational purposes only and not intended as medical advice. Consult a healthcare provider for diagnosis and treatment. Do not disregard or delay seeking professional medical advice because of something you have read here.

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