Forms

Patient Forms and Appointment Information

We require the following two forms to be completed (see links below).

You can either print them and complete them before your appointment or when you arrive. If you choose to do them at the time of your appointment, please arrive a few minutes earlier than your scheduled time.

  1. Consent to undergo physiotherapy assessment and treatment form.
  2. Patient registration form

Parking

Free in the parking lot immediately surrounding Heavens Fitness Club.

Location

Heavens Fitness Club  637 – 11th Ave SW, Calgary, Alberta, T2R 0E1

Assessments are conducted on the main floor.

Payment

Payment is required at the time of your appointment.

Payment can be made by credit card, cash, PayPal or e-transfer to terry@terrykane.ca

If you wish you can process payment online before your appointment by clicking here.

We do not direct bill insurance companies.

A official physiotherapy receipt will emailed to you.

Clothing

If your injury is to your lower body, please bring a pair shorts or loose fitting sweatpants.

If your body is to your upper body, please bring a loose fitting top that allows you move freely.

In the winter weather, please bring a pair of dry shoes to wear.

Reports

If you have any x-ray, MRI reports or medical notes related to your injury or condition, please bring them to your appointment.

If you want your physician to fax a report, they can do so at 1-403-775-4310 (confidential fax #).