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For Clinicians

Partnering with you in care

Referral information and scope of practice for the physicians and care providers we work alongside, including pessary fittings and pelvic health physiotherapy.

Scope of Practice

Registered, professional and evidence informed care

Our registered pelvic health physiotherapists are trained specifically to evaluate and treat both pelvic health and orthopedic dysfunctions. Internal evaluation and treatment of pelvic floor dysfunction, in conjunction with external evaluation of the hip, pelvis, abdominal wall and spine, provides a cohesive, holistic approach to symptom management and resolution. Problems on the inside of the pelvis often shape what's happening on the outside of the body, and we assess across that whole picture.

We welcome referrals and collaboration, and we're glad to keep you informed about your patient's progress throughout their care.

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No referral needed for general care. Patients do not need a referral for general pelvic health, prenatal or postnatal physiotherapy. They can book directly. A physician form is required specifically for pessary fittings, as below.

Pessary Referrals

Referring a patient for a fitting

A pessary offers non-surgical support for pelvic organ prolapse and stress urinary incontinence. To refer a patient for a fitting, complete and fax the Physician Pessary Referral Form. Three steps:

  1. 01

    Confirm it's safe to fit

    Complete the Physician Pessary Referral Form confirming the patient is safe to be fitted and that their vaginal tissues are healthy.

  2. 02

    Prescribe vaginal estrogen if needed

    If you prescribe vaginal estrogen to improve tissue health, it's recommended the patient uses it for 6 weeks before their fitting appointment.

  3. 03

    Fax the form to us

    Fax the completed form directly to us at 403-930-3546. Once received, the patient books a Pessary Fitting Assessment.

Physician Pessary Referral Form

Download, complete and fax to 403-930-3546. Questions about a referral? Call us at 403-690-2221.

Download the form About the pessary clinic
For Referring Providers

Referral questions, answered

How do I refer a patient for a pessary fitting?
Complete the Physician Pessary Referral Form confirming the patient is safe to be fitted and that vaginal tissues are healthy. It can be faxed directly to us at 403-930-3546. Vaginal estrogen, if prescribed, is recommended for 6 weeks before fitting.
Do patients need a referral for pelvic health physiotherapy?
No referral is required for general pelvic health, prenatal or postnatal physiotherapy. Patients can book directly. A physician form is specifically required for pessary fittings.
What conditions do you treat?
Our registered pelvic health physiotherapists assess and treat both pelvic health and orthopedic dysfunctions, including incontinence, prolapse, pelvic and pregnancy-related pain, postpartum recovery, and perimenopause and menopause related concerns such as urgency, frequency, dyspareunia, joint pain and strength changes.
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Direct billing available · No referral needed · Calgary, AB

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Suite 335-10601 Southport Rd SW
Calgary, AB T2W 3M6

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