Health Care Practitioners

Building Bridges

We focus on education, data and science, and are committed to helping you provide the best possible care for your patients. To refer a patient, please follow one of the two options below:

Patient Referral OPTION A:

Fill in the appropriate online form by selecting one of the
two patient forms:

Manitoba Referral Form

Ontario Referral Form

Patient Referral OPTION B:

Download the patient referral form and fax it to us securely
at MB: 1-204-410-6960 | ON :1-705-467-0800.

Download Manitoba Referral Form

Download Ontario Referral Form