Initial Forms

Direct Billing To

To ensure our patients receive the best service, we require 24 hours notice for any cancellations. Missed appointments or late cancellations fees will apply. 

To save some time for your initial visit, fill out the forms  available above & bring them in for your appointment!

  • Industrial Alliance
  • Johnson Inc.
  • Johnston Group Inc.
  • Manulife Financial
  • Maximum Benefit 
  • RWAM
  • SSQ Financial Group
  • Sun Life Financial
  • ​​Blue Cross
  • ​​​​​​​Chamber of Commerce
  • CINUP
  • Cowan 
  • Desjardins
  • Equitable Life
  • First Canadian
  • Great-West Life
  • Green Shield Canada

Payment

 backtobalanceptbo@gmail.com | 705-775-BACK