There is no need for a family doctor referral. However, some insurance companies may require you to have a doctor’s referral for osteopathic treatment to be covered by them. Our recommendation is to confirm with your insurance provider the need for a referral.

At the time you set up your account in our booking system (JaneApp), you may choose to be sent an automatic text and/or email appointment reminders. While this is a helpful tool, we highly recommend that you do not rely solely on the appointment reminders. These reminders are a courtesy only; patients are responsible to keep or cancel their appointment regardless of whether they receive a reminder or not. If you are uncertain when your next appointment is, please contact us to check or login to your Jane profile where your upcoming appointments are listed. When you book your appointment, you are holding a space on our calendar that is no longer available to our other patients. In order to be respectful of your fellow patients, please contact us as soon as you know you will not be able to make your appointment.

Osteopathy is generally regarded as a safe treatment, although you may experience minor side effects, such as: -mild to moderate soreness or pain in the treatment area that lasts 12h-48h -headache (especially if there is neck/shoulder/jaw treatment involved) -fatigue These may happens as positive changes are taking place in your body. As areas of the body that were not moving well initially have their mobility restored, you may start to experience different sensations due to improved muscle activation, improved circulation and nerve supply. On the first 24h after treatment, it is recommended to rest, avoid strenous activity and stay well hydrated. This will allow your nervous system to process and adapt to the new inputs received during your treatment. If discomfort arises, a warm compress/bath (if acute inflammation/recent trauma is not present) or short ice application can be applied to alleviate discomfort. You are always welcome to contact us if you have any concerns.

Some patients need only one appointment; others may have a course of therapy or return periodically for the long-term management of a condition. Treatment is determined according to patient's progression rather than the prescription of a set number of treatment sessions. For a job well done, we will count on you to comply with the recommendations to help keep your treatment plan on schedule and to produce the desired results. Please realise that missed appointments or numerous appointment changes will potentially extend treatment time. By working together, we will get the best results in the shortest span of time!

Your osteopathic treatment may be eligible for coverage under the Personal Reimbursement Benefits (PRB) with a referral from your medical doctor or nurse practitioner and pre-approval from ICBC. This process needs to be initiated by the insured/lawyer with their respective claim specialist. According to ICBC, PRB falls under 88(2) Insurance (Vehicle) Regulation and therefore ICBC is the last payer. If the patient has Extended Health Insurance, they must be approached first. If declined coverage, and confirmation is provided, coverage will be considered by ICBC. Following the last update, the patient will pay out of pocket and be reimbursed by ICBC. Please note that ICBC have determined that osteopathy is a "may pay" service and reimbursement is not guaranteed. An ICBC claim representative will individually assess/investigate each case and determine the amount of coverarge accordingly. Clinical notes may be requested as part of ICBC evaluation and will be provided upon patient's consent. Clinical Reports can be arranged by request ($178 gst included hourly fee applies).

If you have private health insurance it may be possible to claim for your treatment. Please, check with your insurance provider for the specifics of your plan.

Although the BC MSP coverage does not include Osteopathy, various private insurance companies do provide coverage. Please, check with your insurance provider for the specifics of your plan.

Unfortunately, we are unable to issue a direct bill to your extended health care insurer and/or ICBC. As you settle your balance, we will provide you with a digital receipt (e-invoice) which you can submit to your extended health carrier for reimbursement.

5% GST Taxes are added separately when settling the bill.

You can settle your bill by cash, e-transfer or VISA / Mastercard / American Express credit card. Unfortunately, we are unable to process payment from debit cards, Discover credit cards and personal cheques.

Osteopathic training schools have clinics attached, where students train, supervised by qualified osteopathic practitioners. Patients can get treatment there at reduced rates. http://www.osteopathy-vancouver.ca/student-clinic

Amid COVID-19 and flu season risk, we encourage all patients who are sick, have traveled, have had a potential exposure or is concerned, to contact us as soon as they can so we can work together on re-scheduling your treatment according to your needs and prioritize taking care of yourself. We will keep working on ways to continue serving, engaging and managing each case. This is so we can protect the most vulnerable (Elderly, the very young, immunocompromised patients and those with underlying medical conditions, such as heart disease, respiratory, cancer). We appreciate every effort you have been doing to think about yourself, others and our impact in the local and global communities. Rest assured that late cancellation fees will be waived in those cases. The Cancellation policy was designed to better serve our patients so your well-being is our priority. If you require further information with regards to COVID-19, such as the newly released BC CDC Self-assessment Tool, please consult trusted sources such as BC Centre for Disease Control, Health Canada, and the World Health Organization. If you need to talk to someone about related symptoms after you've done the self-assessment test, please call ‪811‬.

Your scheduled appointment time is reserved just for you. Miyuki Osteopathy make every effort to be on time for scheduled appointments. We kindly ask that you notify us a minimum of 24 hours in advance to your appointment time when you are unable to do so. When you give us advanced notice we are able to accommodate other patients. We will do our very best to reschedule your service for another time that is convenient to you. Any appointment missed or cancelled outside the 24 hours notice will be charged in full for the reserved service. That is because if it is cancelled with short notice, or missed altogether, it is often too late or impossible to offer this time to someone else and the appointment time goes unfilled. Exceptions are made in the event of a medical emergency requiring urgent professional treatment, a death in the family or a natural disaster. We appreciate your compliance and understanding with this policy so that we can continue to provide excellent care.

If you are late, please let us know by text or call the practice as soon as you can. We do our best to run on time and we respect that your time is as valuable as ours. We will try our best to make arrangements/accommodate you within the scheduled time. However, if you arrive late, please note your time with the practitioner may need to be shortened to avoid delaying those scheduled after you.