PDF Referral Form

This section is for registered physicians only.

Complete and Send Your Referral

Download the referral form, complete the required information, and send it to our team.

Download the Form

Use the iHealth Centre referral requisition.

Complete the Details

Include the patient’s demographics, health card number, clinical history, requested service, urgency, referring physician information, and relevant supporting documents.

Fax Your Referral

Send the completed form and supporting documents to

416-840-8434

Need Assistance?

Contact our team for help completing or sending your referral.

416-297-8362