Referral forms

Please complete the referral form for the service that you would like to refer your client to and fax it back to 416-690-5182. Please note that the referral form must be completed by your family doctor. The doctor will then receive a confirmation that the referral has been received and if it has been accepted. Please note that for the dietitian referrals we do require their latest most comprehensive blood work to be sent with the referral form.

Mental Health Referral Form

Dietitian Referral Form

Chiropody Referral Form