Book an Appointment

Book an Appointment

To book an appointment with Cira Medical Services, click on the appropriate link below, fill out the required fields, and add additional booking information in the comment section. Once you hit submit, your comments and completed form will be forwarded to a Cira office for scheduling.

If you are unsure which form to use, have questions or would like to book an appointment over the phone, please contact us.

Download your specific form from the list below.

MEDICAL LEGAL SERVICES
Cira - MedLegal Form.doc

ALBERTA ACCIDENT BENEFITS
Cira AB - Accident Benefits Form.doc

ALBERTA EMPLOYER/LIFE & HEALTH
Cira AB - Employer LifeHealth Form.doc

BC EMPLOYER/LIFE & HEALTH
Cira BC - Employer LifeHealth Form.docx

ONTARIO ACCIDENT BENEFITS
Cira ON - Accident Benefits Form.doc

ONTARIO EMPLOYER/LIFE & HEALTH
Cira ON - Employer LifeHealth Form.doc

QUEBEC EMPLOYER/LIFE & HEALTH
Cira QC - Employer LifeHealth Form.doc




ONTARIO-EMPLOYER / LIFE & HEALTH REFERRAL FORM
Cira-ON-Employer-LifeHealth-Referral-Form.doc

ALBERTA, ONTARIO REFERRAL FORM
CIRA-ON-AB-Referral-Form.doc

EMPLOYER / LIFE & HEALTH REFERRAL FORM - QUEBEC
Employer-Life-Health-Referral-Form-Que.doc

LEGAL REFERRAL FORM
CIRA-Med-Legal-Referral-Form - all.doc

CIRA AUTO - ALBERTA REFERRAL FORM
CIRA-Auto-Alberta-Referral-Form.doc