⬇️ Before We Can Direct Bill Your Insurance
Heads up: your insurance provider requires this form before we can submit for direct billing.
👉 We can only attempt direct billing if the completed form is submitted before your visit.
If it’s not filled out in time, no problem—payment will simply be due at the appointment.
You can pay by e-transfer, VISA, or Mastercard.
Thanks for helping us keep things smooth and stress-free!