Crocus Care Referral Process
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.
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
Our fax: 613-216-2156