Physician Referrals

Download the patient referral form
  1. Download the physician referral form PDF.

  2. Fill out and save the PDF form using Adobe Acrobat or Mac Preview.

  3. Return the PDF digitally to us by uploading it below or e-mailing it to info@twocantalk.ca

Physician Referral Form Download

Fill out and submit our online referral form
Gender

LANGUAGES

English

Hebrew

Russian

Arabic

Cantonese

French

Spanish

BUSINESS HOURS

Monday – Friday: 8:00 am - 8:00 pm

Saturday – Sunday: 8:30 am - 4:30 pm

LOCATION

York Region

Peel Region

Durham Region