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Forms

Dear referring physicians: Please feel free to use our referral form below to involve us in the care of your patients, or send us a quick note regarding the reason for referral along with any relevant investigations. Our form can also be found in PSS, Oscar, and Accuro community folders for your convenience. 

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Please note: We do not perform fluoroscopic-guided spinal intervention procedures.

For this, we strongly recommend our trusted community partner Bloor Pain Specialists.

Bloor Pain Speciality

The below is a PDF previewer and you will not be able to save any fields completed. Please download the PDF version, use our Ocean e-referral platform, or follow the methods outlined above.

Physicians

Referral

Referral

(paper)

Oceans

Patients

Oceans

New Patient

(online)

Adobe

New Patient

(paper)

Oceans
Adobe
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