Forms

New patients can receive their initial-visit forms electronically. Simply email us at info@fusionchiropractic.ca and we’ll send you everything you need to get started at Fusion.

Direct Billing:

Patients/clients with extended health benefits through one of the following ten providers are eligible for direct billing. Please call your provider to double check, then download the necessary THREE forms here in advance of your next visit:

1. Direct Billing Information

2. Benefit Assignment Consent

3. Electronic Transmission Consent

Eligible Extended Health Care Providers:

Chamber of Commerce

Cowan

Desjardin

Great West Life

Industrial Alliance

Johnson Inc.

Manulife

Maximum Benefit

Standard Life

Sun Life