New Patients

Genesis Physiotherapy, providing physiotherapy in Calgary, requests that you lessen your waiting time for your appointment by filling out your patient forms in advance.

Physiotherapy Visits:

Work Related Injuries (WCB)

• Physiotherapy Intake Form
• WCB Intake Form
• Release & Request of Medical Records authorization

Motor Vehicle Injuries (Auto Insurance)

• Physiotherapy Intake Form
• AB 1 form
• Release & Request of Medical Records authorization

Private Insurance (EHB): Alberta Blue Cross, Greenshield, Great West Life, & etc…

• Physiotherapy Intake Form
• Direct E-CLAIM Submission Authorization Form
• Release & Request of Medical Records authorization

Self-Pay Clients

• Physiotherapy Intake Form
• Release & Request of Medical Records authorization

Massage Visits:

(MVA, EHB, Self-Pay)

• Massage Intake Form
• Release & Request of Medical Records authorization

Custom-made Orthotics

• Orthotics Checklist