Forms

Welcome (or Welcome Back!) to Blessingways!

Please call us at 403-945-2422 to book your initial
or reactivate appointment prior to filling out these forms.

Thank you! We look forward to seeing you soon.

CHIROPRACTIC INTAKE FORMS

Adult

Pregnant Mom

Infant - Newborn -1 year old

Toddler - Age 1-4

Child - Age 5-12

Teen - Age 13-17

MASSAGE THERAPY INTAKE FORM

Massage Form for All Ages

Insurance Companies we can direct bill for:

Chiropractic Services 

  • Alberta Blue Cross

  • Beneva

  • Canada Life

  • Desjardins

  • Equitable Life

  • GreenShield

  • Industrial Alliance

  • Medavie Blue Cross

  • Sun Life

 

Massage Therapy Services

  • Alberta Blue Cross

  • Beneva by La Capitale

  • BPA

  • Canada Life Canadian Construction Workers Union

  • Chambers of Commerce Group Insurance

  • CINUP

  • Coughlin

  • Cowan

  • D.A. Townley

  • Desjardins

  • Equitable Life

  • First Canadian

  • GMS

  • GroupHEALTH

  • Industrial Alliance

  • Johnson

  • Johnston Group

  • LiUNA Local 183

  • LiUNA Local 506

  • Manion

  • Maximum Benefit

  • People Corporation

  • RWAM

  • Sun Life

  • TELUS AdjudiCare

  • Union Benefits

  • UV Insurance