These are the forms that will need to be filled out prior to your first visit. 

Please feel free to print out the appropriate forms for your case, fill them out prior to your first visit, and bring them with you.  Alternatively, you can just fill them out in person at the clinic on the day of your visit.

 

General Patients

Consent Form

This form must be filled out for all patients attending our clinic who will be billing Alberta Health Care funding, benefits, or privately paying for their visit.

Direct Billing Form

Fill out this form only if you plan on billing your benefit plan (eg. Blue Cross, GWL, etc) and would like us to direct bill your plan for you. Direct Billing is not available for all plans, please check with your provider.

Motor Vehicle Accident Patients

MVA Consent Form

This form must be filled out for all MVA patients attending our clinic for the first time.

AB-1 Form

This form is required by your insurance company, and you may have already completed it. If not we would be happy to submit the completed form to your insurance company on your behalf.

WCB Patients

WCB Consent Form

This form must be filled out for all patients attending our clinic who are making a Worker's Compensation Board claim after being injured at work.