A signed requisition from a licensed Ontario healthcare provider, such as a Physician or Nurse practitioner is required to schedule Specialist consultations and diagnostic tests. This form is for requesting new appointments only. Please call 1-877-564-5227 to make any changes to previously scheduled appointments.
Steps:
- Acquire a signed requisition from your healthcare provider
- Fill out the form to request an appointment
- Once your appointment has been scheduled, please note the required preparation and documents for your appointment
To fill out the form, click here.
To view the required preparation for your appointment, click here.
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