Referrals / Refer a Patient

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If you are referring a patient to our clinic, you can use the form below to help that process.

At the Orthopaedic Therapy Clinic we are proud to be a part of the health team working together to get our patients healthy.  Although a referral is not required for treatment we appreciate the insights of our medical referrers bring to a patient’s condition.

To assist in this referral process we have developed an electronic referral form.  Each service on the form is hyperlinked to a brief description of the service and provides a list of the professionals who provide the services.

To make the submission easier you can submit the form directly by email or you can download and Fax it.

We will contact your patient directly if you include patient contact phone number or email address.

If you prefer, you can download a PDF of this form.Adobe PDF download

You can email the completed PDF to us at or Fax it to 416-925-4687.