Skip to content
Menu

Professional Referral Forms

If you belong to a family health team (FHO, FHT) you will not be negated for referring to our physicians. Please fill out all fields that apply.

Please download one of our referral forms and fax accordingly to the appropriate clinic fax number presented below.

InMedic London

Fax: 519.601.7174

InMedic Windsor

Fax: 519.735.0588

InMedic Kitchener

Fax: 519.208.8182