©2018 by Crocus Care Solutions Inc.. Proudly created with Wix.com

Crocus Care Referral Process

Instructions

To protect confidentiality of your client the referral forms can be submitted by fax, email or in-person. If you are not sure about which coverage you fall under, please feel free to choose the "Free Consultation" option. We will determine your eligibility upon your first visit.

Our fax: 613-216-2156 or back up fax line: 613-651-9847

Referral Form Can be:

- Downloaded and electronically filled

- Printed and completed by hand

- used MDs, NPs, RNs and other providers

- used Patient for self-referral