HEALTH PROVIDERS: Please use the below form to refer a patient directly to our clinic, by inputting the patient's first and last name, including phone number. If you prefer to send information via fax, please see our PDF requisition form, fill out and fax to 587-705-0804.

SELF- REFERRAL: If you are referring yourself, please include your relevant contact information and any notes we should know. Please note that it is not mandatory to be referred by a healthcare provider, neither do you need a physician referral note, unless it is needed by your insurance provider for coverage.