Referrals

Appointments are made only by referrals:

For Patients and physicians:

In order to process an appointment in a timely manner, we will need to receive the following information:


1- Referral form filled and signed by the referring physician.

2-  Recent History & Physical

3- Recent medication list (from your pharmacist)

4- Copies of any recent blood work (CBC, kidney, and liver functions).

5- Copies of MRI, CT, and/ or ultrasound reports


Physicians
For Physicians’ offices, please use this referral form and email to: info@swopi.ca or fax it to 519-744-2611.

 

Patients:
Please make sure you indicate the best phone number, that you could be reached at (see patient questionnaire form, at the top)

 

Please send this information by e-mail at: info@swopi.ca (scan and email documents)

Once we receive your full information package we will be in touch within 48-72 hours.

We look forwards to seeing you at SWOPI.

 

Referral Form (PDF)