Fees and Forms

Fees and Forms 2017-03-20T07:38:56+00:00

What Is The Cost Of Treatment?

Many of Clover Hills Rehabilitation’s services are covered by: Extended health insurance plans, Medical Services Plan (MSP), ICBC, and WorkSafeBC (WSBC). Please call our office at 778-574-7722 to inquire about our fees.  On your first visit, don’t forget to bring your claim number or plan number, along with your adjustor or case manager’s name if you have it.

ICBC Claims

At Clover Hills Rehabilitation we specialize in treatment of patients who have been injured in a car accident, motor bike accident, or any other injuries related to MVA.

Clover Hills Rehabilitation is one of the only clinics in Surrey to offer Direction to Pay for patients involved with ICBC. Our chiropractors are also a part of the ICBC Chiropractic Pilot Program.

What is Direction to Pay?
It is a billing structure for patients having difficulty paying for treatment user or private fees for injuries suffered from a motor vehicle accident. Please contact us directly or have your legal representative contact us prior to booking an appointment to discuss payment options.

What is the ICBC Chiropractic Program?
Clover Hills Rehabiitation is associated with the ICBC Chiropractic Program. ICBC will pay the chiropractor directly which means you will not be required to pay any fees up front. Patients can start the chiropractic treatment as soon as they are assigned an ICBC claim number and as long as they have not seen any other chiropractors for their claimed injuries.

Direct Billing for Extended Health Plans

We are now able to directly submit your extended health insurance claims on your behalf for the following insurance companies:

For all other insurance plans, we provide you with the receipt you will need for reimbursement from your insurance provider.

Medical Services Plan and WorkSafeBC

Medical Service Plan of BC (MSP):
Please call the clinic if you would like us to check if you qualify for MSP coverage.

WorkSafe BC (WSBC):
If you have been injured on the job, WorkSafe BC (WSBC) will cover chiropractic care and physiotherapy treatment. Please bring your claim number to the first visit. No referral is required.

New Patient Forms

Please use the link below to download and fill out the new patient intake forms. Please remember to bring these forms with you for your initial appointment. If you prefer to fill out the new patient forms at our clinic, please arrive 15 minutes prior to your initial appointment.

LINK: NEW PATIENT INTAKE FORMS