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Referral Form


Referring Practitioners


Referrals are available for:

~ Complex Perinatal Injury* (DC)
~ Pelvic Health Physiotherapy
~ Breastfeeding & Infant Support (PT)
~ Hypermobility/EDS (PT)
~ Chronic Pain (PT)
~ General Chiropractic
~ General Physiotherapy

PT- Physiotherapist 
DC- Chiropractor

We accept referrals from all healthcare providers


What is the referral process?

Referrals can be made by fax 403-277-2335 or email NaturallyBalancedTherapy@shaw.ca
OR
You can provide your patient/client with the completed referral form, directing them to bring it to their appointment. They can then book online, at their convenience, for the referred service.

Please use the Referral Form provided

As the referring provider, you have the following options:

1. Consultation/Second Opinion
2. Assess and Treat
3. Report of Findings


Please note:

Patients who are referred for consultation only will be directed back to the referring provider to discuss treatment options.



What is the cost?

~ Fees for a Chiropractic Services are billed in accordance with our Chiropractic Fee Schedule
~ Fees for Physiotherapy Services are billed in accordance with our Physiotherapy Fee Schedule

*where applicable- these services can be claimed under extended healthcare benefits



*Complex Perinatal Injury

Dr Melissa Reinke offers a Referral based Consultation Service as an avenue of support to those who work with the Prenatal and Postpartum community. The goal in offering this service is to help you find answers for your patients/clients who are struggling to recover from a Prenatal or Postpartum related injury including: pelvic floor dysfunction, diastasis recti, pelvic organ prolapse, radiculopathy and lumbar-pelvic pain. 

Prenatal/Postpartum injury assessment and rehabilitation is Dr Melissa Reinke's area of expertise AND passion. In addition to her Doctor of Chiropractic (DC) and Acupunture Provider training, she is uniquely certified as a:

~ Pregnancy and Postpartum Corrective Exercise Specialist (PPCES)
~ Functional Range Conditioning Mobility Specialist (FRCms)

Through a comprehensive function-based Assessment, that is individually adaptive and fluid, Dr Melissa is able to 'think outside the box' and work one-on-one with the patient to provide insight into their symptoms.