Physician Referral Form
PHYSICIAN REFERRAL FORMS
Are you a Physician?
To refer a patient, please download our referral form below and fax completed form to 416-482-8999. Alternatively, you can complete our online e-referral and submit directly through our website.
Please note that we cannot accept referrals for court or medico-legal purposes, and/or cases with
unresolved custody/access issues.
unresolved custody/access issues.