At your first visit, you will meet with members of our team who will go over your medical history and ask about your symptoms.  

A physician will then perform a thorough examination and talk to you about what we have learned. We will work with you and your family to develop a personalized care plan that might include: 

• Medication 

• Treatments like botulinum toxin A (Botox) injections 

• Tests like bloodwork or scans 

• Referrals to other specialists or medical services 

• Follow-up appointments for treatment or to check on how you are doing 

Some appointments may be available virtually, but treatments with botulinum toxin A must take place in the clinic. 

• OHIP card or other health insurance information 

• All medications and supplements in their original bottles 

• A list of questions you want to ask 

• Any medication you might need to take while at the clinic 

• Any aids you use, such as a walker, hearing aids or glasses 

• A friend or family member for support, if you choose 

You will need a referral from a health-care provider to visit our clinics.  

Please send this referral form (PDF) to [email protected] or fax to 647-788-4886. 

Eligibility criteria include people over 18 experiencing increased or involuntary muscle postures due to stroke, multiple sclerosis, brain injury, spinal cord injury, cerebral palsy, dystonia, blepharospasm, hemi-facial spasm or dementia. We also see people with other causes of increased muscle tone or involuntary postures who are eligible for Botulinum toxin injections. 

How do I know if my muscle tightness is spasticity?

Spasticity can feel like your muscles are pulling, stiff or sometimes causing you to move involuntarily. If muscle tightness affects your mobility or ability to do daily tasks, talk to your primary care physician. 

How do botulinum toxin A injections help spasticity?

Botulinum toxin A (often known as Botox) injections can reduce pain and improve your comfort and mobility by relaxing the overactive muscles. 

What conditions cause spasticity?

Spasticity can be caused by damage to the brain or nervous system from conditions like stroke, spinal cord injury, cerebral palsy, multiple sclerosis and traumatic brain injuries.