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Locally Owned & Operated since 2015
(905) 315-9955
About Us
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Exercise Library
Patient Referral
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About Us
Services
What We Treat
Exercise Library
Patient Referral
Contact
Resources
Blog
Book Appointment
Book Appointment
Patient Referral
If you are a healthcare professional referring a patient, please complete the form below. Our team will review the referral and contact the patient as soon as possible.
Referring Doctor Information
Doctor Name
Clinic / Practice Name
Phone number
Email Address
Patient Information
Patient Name
Date of Birth
Phone number
Email Address
Upload Medical Records / Reports
Address
I confirm that the patient has consented to this referral and sharing of their information.
Submit Referral
