Our Referral Form

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 A referral by a physician or nurse practitioner is required to book a consultation. 

Please note,  the following items are required to complete your initial consultation at our facility:

• A referral signed and faxed by your referring physician. 
• Your OHIP card.
• An official government ID.
• Your current contact information.
• Any supplemental insurance information.

For your safety, we’ll need to physically see your Ontario Health Insurance card and photo ID when you come in for the consultation or treatment.

Please note, we require the signed referral/requisition by a physician to start the process.

Please fill out the Online Booking Request Form and one of our Patient Care Coordinators will be in touch shortly to book your appointment.