How to refer to us
Please complete above referral form and fax to:
1-905-994-9625 or 1-855-932-1287
We will schedule your patient for an appointment within 1-3 business days upon receipt of your referral, and keep you informed of their progress at every follow-up visit.
*Please note ONLY out-of-basket billing codes are used for our referred patients to ensure no penalty to referring HCP.