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Referring Healthcare Professionals

Are you interested in referring for the GLA:D Back Program or for individualized chiropractic care? Are you looking for a second opinion on a musculoskeletal (MSK) diagnosis or conservative plan of management? Complete and fax the referral form below and we'll reach out to the patient regarding the next steps!
Download Referral Form
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Compassionate Care Program

Dr. Rebecca offers a Compassionate Care Program to assist individuals with MSK conditions who would benefit from chiropractic care but cannot afford it due to financial constraints. Eligibility for the Compassionate Care Program is based on the following criteria:

    • The patient meets Canada’s official definition of poverty: “Poverty is the condition of a person who is deprived of the resources, means, choices, and power necessary to acquire and maintain a basic level of living standards”
    • The patient either (i) earns less than $57,909 annually (family of four) OR (ii) less than $28,954 annually (single individual) *Income thresholds are based on the poverty line for Calgary, Alberta

MDs referring patients to the Compassionate Care Program must complete and fax the Chiropractic Referral Form, confirming the patient meets program criteria. Referred patients will be waitlisted and contacted when a space becomes available. Each referral covers one MSK complaint, with only one active case per practitioner at a time. Up to 12 visits, including the initial assessment, are provided per referral under the Compassionate Care Program fee schedule, which is 75% of the posted Chiropractic fee schedule. A new referral is required for additional care or a different MSK complaint.

Download Referral Form
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