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Referral Form

Doctor's Desk

Download the fillable Referral Form and fax it to the clinic to begin the referral process.

Referral Form (Fillable PDF): 




Clinic Fax Number: (905) 225-0130


Due to current high referral volumes, we have made the difficult decision to temporarily suspend the acceptance of new referrals at this time.


This decision was not made lightly and was a result of careful consideration regarding our capacity to maintain the highest standards of quality and timely care for our existing patients. As our clinic strives to provide the highest standards of patient-centric care, we must ensure to dedicate sufficient time and resources to our current patients while also accommodating their evolving needs.


Please note this situation will be continually monitored. We will re-evaluate our caseload in the upcoming months. Updates regarding the resumption of referral acceptance will be available on our website, ensuring transparency and ease of access to the latest information.


We understand this decision may cause inconvenience, and we sincerely apologize for any disruption it may cause. We value our collaborative relationships with our colleagues, and we sincerely appreciate your understanding and support during this challenging time.


Thank you for your ongoing trust and partnership. We look forward to continuing our collaboration in the future. If you have any urgent concerns or need assistance, please do not hesitate to contact the clinic directly.

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