Dear referring healthcare providers,

 

You will find a digital copy of the referral form below for your convenience. 

 

Please feel free to send your referrals to the following number:

• Fax: 905-849-8445

 

Thank you kindly. We look forward to being part of your patient's care team. If the referral is from a specialist, please also include the name of the primary care practitioner. 

 

Please note: 

• Dr. Aleksenko is not accepting WSIB claims at this time.