Take this 30-second quiz to see if you qualify for an appointment.
How long have you been experiencing pain?
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Just Recently
0-6 Months
6-12 Months
More Than 12 Months
Where are you experiencing pain?
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How old are you?
*
18-24
25-49
50-64
65 & older
What type of insurance do you have?
*
Sunlife
Canada Life
Pacific Blue Cross
Industrial Alliance
Manulife
Manion
SSQ insurance
Empire Life
Green Shield Insurance
Other
Other Insurance?
Alberta Blue Cross
Desjardin
TD Insurance
Intact Insurance
Certas
Group Health
Workers Compensation Board - Alberta
Group Source
No Insurance
None of the above
Unfortunately, we do not accept your insurance at this time, would you interested in our cash based services?
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Yes
No
Are you willing & able to invest in your health & wellness?
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Yes
No
What's your full name?
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What's your email?
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What's your best phone number?
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