Welcome to Madrona Integrative Health! We are a collaborative team offering patient-centred holistic health care to the Salt Spring Island community.

Dr. Hannah: is practicing on a limited schedule until Sept 2026 as we prepare to open a second clinic location in Crofton. Please consider booking appointments ahead of time. Patients needing more time sensitive support are invited to book in with Dr. Nicole or Dr. Patrick during this time.

Prescription Refills: As of May 1st, we will be updating how we provide prescription refills. Your naturopathic physician will provide you enough refills until your next anticipated follow-up visit. If you require a refill outside of a regular appointment, there will be a $30 prescription refill fee to honour the time it takes to review your medical history and process the refill. Prescription renewal requests can be requested at the pharmacy and faxed to us at: 855-956-3953. As always, please allow for at least 3 business days for refills to be processed.

Cancellation/Online Booking Payment Policies: We require at least 24 hours notice for cancellations or changes to your appointments. The fee for a first same day cancellation/no show will be equal to half the value of the visit. The fee for subsequent missed visits will be equal to the full value of the visit. In the event of severe illness (ie. active fever or vomiting) or a significant weather event that affects all forms of transportation, please contact the clinic right away by phone or email. By booking online, you agree to our cancellation policy and understand your card will be charged if you miss your visit without giving the clinic 24 hours notice.

Scent Awareness: To support patient comfort, Madrona Integrative Health is a scent-aware clinic and kindly asks that strong or synthetic fragrances be avoided on behalf of our scent-sensitive patients.

We look forward to seeing you at Madrona!

Rob Cosma is a Registered Physiotherapist who brings a compassionate, evidence-based approach to movement and rehabilitation. He believes that true recovery and wellbeing come not only from addressing physical symptoms, but also from empowering patients with the knowledge and tools to reconnect with their bodies and restore confidence in movement.

As a physiotherapist, Rob has experience working with a broad range of populations including post-surgery patients, job-related injuries, performance athletes, and those navigating complex musculoskeletal and neurological conditions. Drawing from his training in manual therapy, movement science, and vestibular rehab, Rob crafts individualized treatment plans that reflect both his clinical expertise and each patient’s unique goals. He has a special interest in knee and ankle injuries and post-operative rehab, but enjoys treating patients from all walks of life.

Before his career in physiotherapy, Rob gained experience as a kinesiologist while training as a high level competitive swimmer, and working as a lifeguard and swimming teacher in his home city of Vancouver. Shortly after completing his studies in kinesiology at UBC, Rob travelled abroad to Scotland to complete his physiotherapy education, and moved to Vancouver Island upon his return to Canada. Rob’s time in the UK hospital system and his clinical private practice in Campbell River have given him the opportunity to gain experience in multiple specializations in physiotherapy, and integrate these different schools of thought for a unique treatment approach.

Rob is a lifelong advocate for inclusive and holistic care, and his sessions are a collaborative space where patients are seen, heard, and supported throughout their recovery. Rob believes in the importance of listening deeply and embracing humour every day.

As a newcomer to Salt Spring, Rob looks forward to learning from his patients and becoming a part of the community. Outside of his clinical practice, he can be found exploring the island by bike, learning to sail, and freediving with his fiancée, Anna, and their sassy Border Collie mix, Edna.

Rob Cosma is a Registered Physiotherapist who brings a compassionate, evidence-based approach to ... Read More

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