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.
Dr. Melanie, Dr. Laurence, Dr. Leah and Jessica
CHIROPRACTIC
REACTIVATION FORMS
MASSAGE THERAPY
INTAKE FORM
REFLEXOLOGY
INTAKE FORM
CHIROPRACTIC FEES
Initial Examination
Adult - $105.00
Child/Senior - $95.00
Office Visit
Adult - $55.00
Child/Senior - $45.00
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
CHIROPRACTIC
RE-EXAMINATION FEES
Re-examination Fees (over 6 months since last adjustment)
Adult - $85.00
Child/Senior - $75.00
MASSAGE THERAPY AND REFLEXOLOGY FEES
Massage Therapy Sessions - GST not included
30 minutes - $65.00
45 minutes - $85.00
60 minutes - $100.00
90 minutes - $150.00
Hot Stone Massage - GST not included
60 minutes - $115.00
Reflexology Sessions - GST not included
30 minutes - $75.00
45 minutes - $95.00
Labour Induction Reflexology Sessions - GST not included
30 minutes - $75.00
45 minutes - $95.00
Lymphatic Drainage Reflexology Sessions - GST not included
30 minutes - $75.00
45 minutes - $95.00