Skip to content

New Patient Online Forms

Online Form PicAt Elements Health, we are working to offer all of our paperwork online so you can complete it in the convenience of your own home. Completing our online forms works best on a computer or tablet.

Elements Intake

All new patients should complete the Elements Intake form above on their first visit to our clinic, along with the specific form(s) below for the service(s) you are seeking. If you have an appointment with our mental health team, your forms will be emailed to you separately.

Acupuncture Intake 

Complete this form online if you are seeing a member of our Acupuncture team for the first time. Please complete this form prior to your first visit. 

Chiropractic Intake

Complete this form online if you are seeing a member of our Chiropractic team for the first time. Please complete this form prior to your first visit.

Chiropractic Child Intake (<10 years old)

Print this form and complete it prior to your visit. This form is not yet online.

Massage Intake

Complete this form online if you are seeing a member of our Massage Therapy team for the first time. Please complete this form prior to your first visit.

Physiotherapy Intake

Complete this form online if you are seeing a member of our Physiotherapy team for the first time. Please complete this form prior to your first visit.

Direct Billing

We direct bill for all eligible services. Please bring your insurance company information with you to your first visit. To save time, please complete your appropriate direct billing agreement(s) before you come. For Sunlife or benefits ran through Telus Health (click here to see if your insurer uses Telus Health) please complete the appropriate form below. For all other benefit plans, please complete the Elements Health Direct Billing Agreement. Not sure which forms to complete, contact us anytime!

Sunlife Agreement

Telus eClaims Agreement

Elements Health Agreement

CONTACT US »

divider

Elements Health | (780) 571-3536