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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 reason for referral along with any pertinent investigations. Our form can also be found in PSS, Oscar, and Accuro community folders for your convenience. 

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

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

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

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Referral

(paper)

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Patients

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New Patient

(online)

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New Patient

(paper)

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