Health Care Practitioners

Refer your Patient

We focus on education, data and science, and are committed to helping you provide the best possible care for your patients.

Building bridges.

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