Let's get started with direct billing to your Extended Health Benefits by filling out the following:

Please be advised Great West Life, Sun Life and Manulife require predetermination request to be completed prior to the day of your scheduled appointment.

All your information provided on this form are required in order for us to inform you of any coverage information (partial of in full) by email prior to your next appointment! Therefore, we are happy to direct bill subsequent sessions excluding the first/initial appointment.

Alberta Blue Cross

Great West Life, Sun Life, Manulife, Others