ACTIVFIT SPORTS THERAPY
GETTING THE MOVEMENT YOU NEED WITHOUT THE FIBER!
Client Therapy Consent Forms
Please fill out the following printable form:
~
ActivFit Sports Therapy Consent Form (.pdf
file) or
~
ActivFit Sports Therapy Consent Form (.MS
Word file)
Email your Consent Form to
becky@activfit.ca
(prior to initial visit) OR bring the
completed form with you for your appointment.
This will allow us to make better use of your scheduled time with
your therapist
THANK YOU!
Insurance Coverage
The following Insurance Companies accept billing for Athletic
Therapy. Coverage will vary between plans so patients are
encouraged to contact their provider or Human Resources
Department to see if Athletic Therapy coverage is included in
their benefits package.
Allsport Insurance Marketing
Canadian Hockey Association
Canada Life Assurance Company
Citadel Assurance
Clarica
The Co-Operators
Desjardins Financial Security
The Economical Insurance Group
Equitable Life of Canada
Great West Life Assurance Company |
Greenshield
Industrial- Alliance Pacific
Liberty Health
Manulife Financial
Premier Life Insurance Company
Reliable Life Insurance Company
Standard Life
Sun Life Financial
Wawanesa Life
|
Athletic Therapy is a relatively new therapy service,
therefore not all insurance providers are aware of this
treatment option. The following forms, created by the
Canadian Athletic Therapists Association, are available to
download and submit for request of Athletic Therapy Services.
Letter to Human Resources
(Not Yet Receiving Athletic Therapy)
Letter
to Human Resources (Already Receiving Athletic Therapy)
Letter to your Insurance
Provider (Not yet receiving Athletic Therapy)
Letter
to your Insurance Provider (Already receiving Athletic Therapy)