We offer direct billing!

Your clincal counselling and other services may be covered in full or part by your health insurance plan. If you have coverage for our services, please use one of the forms below to submit your billing information! We accept Pacific Blue Cross and Telus Health insurers. Many popular insurance providers bill through Telus Health, including:

• Great West Life
• Chambers of Commerce
• Manulife
• Desjardins Insurance
• Cowan
• Industrial Alliance
• Johnson Insurance
• Maximum Benefit
• Johnston Group
• Standard Life
• Sun life Financial

Covered by another insurer? Questions about direct billing? Contact us directly. We’ll get back to you with answers as soon as possible!

Please note that we do not provide direct billing for WCB claims.

Billing Information

Name *

First

Last

Date of Birth *

Member ID *

Policy Number *

Phone

Submit

Where do I find my Member ID and Policy Number?

Your ID and Policy numbers can be found on your insurance card. If you cannot find your insurance card, contact your provider directly. They can issue a replacement card and look up your member information. Take a look below for some example cards, and where the ID and policy numbers are located.

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Patient Information

Name *

First

Last

Date of Birth *

Gender *FemaleMale

Doctor Referral? *

• Yes
• No

Name of Referring Doctor *

First

Last

Primary Coverage Information

Relationship *Insured MemberSpouseChildHandicapped DependantPart Time StudentFull Time StudentDomestic Partner

Primary Coverage Name *

First

Last

Date of Birth *

Insurance Provider *Chamber of Commerce Group InsuranceCowanDesjardins InsuranceGreat-West LifeIndustrial AllianceJohnson Inc.Manulife FinancialMaximum Benefit or Johnston GroupStandard LifeSun Life Financial

Policy # *

Member ID *

Do You Have Secondary Coverage? *

• Yes
• No

Secondary Coverage Information

Secondary Coverage Name *

First

Last

Relationship *Insured MemberSpouseChildHandicapped DependantPart Time StudentFull Time StudentDomestic Partner

Date of Birth *

Insurance Provider *Chamber of Commerce Group InsuranceCowanDesjardins InsuranceGreat-West LifeIndustrial AllianceJohnson Inc.Manulife FinancialMaximum Benefit or Johnston GroupStandard LifeSun Life Financial

Policy Number *

Member ID *

Email

Submit