FORMS

New Chiropractic Patient Forms

General new patient forms include the following. You may choose to fill these out prior to coming in or at the clinic. All downloadable forms must be printed and brought in, as we require paper copies for your file.

For ages 11 years and older

Infant/Child Intake Form

For ages 0 to 10 years

Pre- or Post-Natal Chiropractic Patient Form

New Massage Therapy Patient Form

Motor Vehicle Accident (MVA) Chiropractic Patient Forms

  • For those involved in an auto accident, print and fill out the AB-1 MVA form to bring to your Chiropractor or health care provider.
  • Please print and bring in the AB – 2 form for the chiropractor to fill in after your patient assessment.

Note: We are able to process claims for all MVA insurers onsite.

Alberta MVA patients can find many resources at alberta chiro.

Third-party Insurance Billing

For patient ease and convenience we direct-bill selected insurance companies for both Chiropractic and Massage Therapy. We provide this service for the following insurers:

  • Sunlife
  • Green Shield
  • Alberta Blue Cross
  • Standard Life
  • Industrial Alliance
  • Cowan
  • Maximum Benefit
  • Johnson
  • Chambers of Commerce
  • Great West Life