Our Referral Form

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

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. 

- New Patients -

Booking Request

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.


- Existing Patients - 

Online Booking Request


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


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

Existing Patient 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



9:00 a.m. – 5:00 p.m.


9:00 a.m. – 5:00 p.m.


9:00 a.m. – 5:00 p.m.


9:00 a.m. – 5:00 p.m.


9:00 a.m. – 5:00 p.m.