A HEALTHY LIFE IS WITHIN REACH
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Physician Referral Form
January 2022 Updated/Revised
FILLABLE
Physicians are able to access a fillable Patient Referral Requisition Form, complete it and submit it directly to IMPRESSIONS, using the upload feature provided below.
IMPRESSIONS Intake Form
January 2022 Updated/Revised
FILLABLE
Physicians are able to assist patients with this fillable intake form, or provide them with an
e-mail copy or printout to be completed and later submitted, prior to their scheduled intake meeting.
Consent/Authorization to Obtain/Release Information
January 2022 Updated/Revised
FILLABLE
Physicians are able to acces a fillable patient consent form for authorization to obtain and/or release relevant health information. This form may also be printed and provided to the patent for later submission to our IFCS office.
Insurace Carrier Consent Form
January 2022 Updated/Revised
An approved Insurance carrier consent form to be provided to patients, as needed, for applicable reference to insurance claims.
IFCS: Patient information Brochure
January 2022 Updated/Revised
A patient informational brochure which is available for download, printing and distribution, as required.
A BRIEF SYNOPSIS OF IMPRESSIONS FCS INC. FOR OUR PHYSICIAN/COLLATERAL PARTNERS
Physician Referrals
Referrals accepted from Physicians actively practicing in BC and the NWT
(866) 708-3501
secure and confidential
*Please note that patients are billed directly for all services and are recommended to submit their receipts/claims to their respective insurance carriers for reimbursement, at their earliest convenience.
THIS PAGE IS NOT FOR PATIENT USE.
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NOTICE TO ALL REFERRING PHYSICIANS
We no longer accept facsimile transmissions.
For your reference and convenience, we ask that all completed forms and documents be uploaded to our secure site, using the portal above.
If you experience any difficulties or require any asistance, please contact us immediately at:
(866) 708-3501
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CARDS FOR PATIENTS
TO OUR VALUED AND VALIANT PHYSICIANS:
We recognize and appreciate the on-going challenges and demands placed upon you and your professional practice.
As such, we commit to assisting and supporting your efforts by accommodating your needs, as best we can, in whatever means we have available to us.
We encourage and welcome your feedback, suggestions and additional support services you recommend.
We will continue to strive in meeting all your expectations in a timely and efficient manner and thank you for your continued cooperation, collaboration and confidence.
Please use the form, on right, to communicate with us in expeditious and secure communications platform and indicate if you desire us to contact you directly, in response to your contributions submitted.
Typically, we respond to all submissions received within 12 to 24 hours of receipt, however, our desire is to respond to all critical issues within a maximum of 6 hours of receipt.
Thank you for your time and valuable contributions and we look forward to continuing a most valued and comfortable relationship with
you.
Craig Maguire, Mental Health Therapist/Trauma Specialist
IMPRESSIONS FCS INC.
