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Our Referral Form

 Download Our Referral Form - or use your own from your EMR 

TIPS-ReferralForm-2019-fillable-web (pdf)
Download

Call Us (905) 237-4623

Fax your request (905) 237- 5098

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

 

To Complete Your Booking

Please have the following ready when you call as we require this information to complete your exam booking:

  • Your Ontario Health Insurance [OHIP] card
  • Your doctor’s name
  • The requisition given to you by your doctor
  • Your current contact information
  • Any supplemental insurance information


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

 

Online Booking Request


Do you have an appointment that you need to book however have no time to wait on hold? 

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

Cancellations

If you are unable to attend your appointment, please email or call reception within 48 hours of your scheduled appointment so that your appointment can be rescheduled in a timely fashion

email us if you have questions reception@tipsmed.com

Online Booking Request

Fill in the requested information to begin the process. One of our Booking Specialists will contact you shortly after to complete your booking.

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

If you don't have a referral, find it here 

TIPS - The Interventional Pain Specialists

9625 Yonge Street, Suite 1A Richmond Hill, Ontario. Canada. L4C 5T2

(905) 237-4623

Hours

Mon.

9:00 a.m. – 5:00 p.m.

Tue.

9:00 a.m. – 5:00 p.m.

Wed.

9:00 a.m. – 5:00 p.m.

Thu.

9:00 a.m. – 5:00 p.m.

Fri.

9:00 a.m. – 5:00 p.m.

Sat.

Closed

Sun.

Closed