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Pelvic floor clinic calgary referral form

Pelvic Floor Referral Form 2025

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The document outlines the referral process for pelvic floor physical therapy, detailing various diagnoses such as urinary incontinence, chronic pelvic pain, and others. It includes instructions for healthcare providers to send patient demographics and test results, as well as a list of treatment options available. The document also provides contact information for multiple therapy locations.

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How to get a prescription for pelvic floor therapy?

Pelvic floor physical therapists may qualify as specialists, meaning you may have to pay higher copays for their services and you may need a referral from your PCP to see one depending on the type of plan you have. On average, pelvic floor therapy costs $100 to $250 per session without insurance.

Is pelvic floor therapy worth it?

To start pelvic floor physical therapy, youll need a physician referral. For women, many referrals come from a specialist in urogynecology or OB-GYN. For men, referrals often come from urology or a physician providing post-prostate surgery care. Primary care providers may also refer patients to this treatment.

How to get pelvic floor therapy covered by insurance?

Pelvic PT is not considered a different service than regular PT in 95% of insurances. If your insurance covers regular PT by said company, it will cover pelvic floor PT. You just need to find the person within the company that is a pelvic floor PT. The person who answer the phone should know this.

Will insurance pay for pelvic floor therapy?

A referral may be required for pelvic floor therapy. Talk to your provider to learn if pelvic floor therapy may be beneficial and learn about offerings near you.