To refer a child a child or adult patient for speech therapy services please fill out the form below or download and submit the physician referral form and our team will begin the process immediately.
Questions? Our friendly TWO CAN TALK representatives are available to help you each step of the way. Just call (905) 553-9533.
Download the patient referral form
Download the physician referral form PDF.
Fill out and save the PDF form using Adobe Acrobat or Mac Preview.
Physician Referral Form Download