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Patient Eduction
Forms

Country Hills


Please print the forms, fill them out and bring them with you to your first appointment


If you have any questions about the forms please contact the clinic you are attending.

Physiotherapy Services

 

If this is not a motor vehicle injury, work related injury or you do not qualify for funded physiotherapy under AHS, please fill out patient registration form only.

 

AHS (Alberta Health Services)

If you qualify for funded physiotherapy services please complete the appropriate injury disability form:


If you are income eligible for funded physiotherapy services please complete this form:

 

MVA (Motor Vehicle Accident)

If this is a motor vehicle injury please complete the following forms:


WCB (Workers Compensation Board)

If this is a work related injury please complete this form:

 

Massage Services

Please complete both forms