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
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