Physiotherapy Visits
Work Related Injuries (WCB)
- Physiotherapy Intake Form
- Physiotherapy Assessment Form
- WCB Intake Form
- Release & Request of Medical Records authorization
Motor Vehicle Injuries (Auto Insurance)
- Physiotherapy Intake Form
- Physiotherapy Assessment Form
- AB 1 Form
- Release & Request of Medical Records authorization
Private Insurance (EHB): Alberta Blue Cross, Greenshield, Great West Life etc.
- Physiotherapy Intake Form
- Physiotherapy Assessment Form
- Direct E-CLAIM Submission Authorization Form
- Release & Request of Medical Records authorization
Self-Pay Clients
- Physiotherapy Intake Form
- Physiotherapy Assessment Form
- Release & Request of Medical Records authorization
Please complete according to the location of your injury(s)
- Roland Morris Back Questionnaire
- Upper Extremity Fuctional Index
- Lower Extremity Fuctional Index
- Neck Disability Index
Chiropractic Visits
Massage Visits: (MVA, EHB, Self-Pay)
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