Name
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Are you accepting new patients?
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Projected Start Date
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MM slash DD slash YYYY
Do you offer treatments for WCB or ICBC related cases?
(Required)
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Do you offer a focus area of treatment?
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For example: Anxiety, PTSD, Pregnancy and Postpartum Care, Lymphatic Drainage, Sports Massage, TMJ, etc
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Areas of Focus
Modalities
Please list modalities. For example: Deep Tissue, Trigger-Point Therapy, Myofascial Release, Cognitive Behavioural Therapy, EMDR, Visceral Manipulation, Buccal Massage, etc.
Business License
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Have you obtained a valid business license for the city in which you will be practicing?
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Working hours
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Please enter the hours you are available to your patients.
Day of the week
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Direct Billing
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Pacific Blue Cross
Medavie Blue Cross
Manulife
Great West Life
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Green Shield
Industrial Alliance
Sunlife Financial
Chamber of Commerce
Cowan
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Maximum Benefit
Manion
Johnson Group
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Bio
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Website
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Facebook Profile
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Insta Profile
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Additional Info
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Profile Picture
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Max. file size: 128 MB.
Rent Invoicing Information
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Company Name
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Address
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Street Address
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Email
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Comments
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Δ
Which Location?
Chilliwack
Abbotsford
Not a small thumbnail. Something directly from your phone would work great!.
January 28th
* 7:00-8:30 PM
* The Xcel Energy Dance Studio
* Limited Space
* $25.00