PHYSICIAN REFERRAL FORM

If you would like to consult with one of our healthcare professionals, please have your physician complete this form. Once the form is completed, send it to us by email or fax.

Download Physician Referral Form (.pdf)

 

MEDICAL DOCUMENT

To be completed by a healthcare practitioner. Once complete, email or fax it to us.

Download Medical Document (.pdf)

 

PATIENT SELF-REFERRAL

Unable to get a physician referral? You can book an appointment online or you can send us a completed Patient Self-Referral form by email or fax.

Download Patient Self-Referral Form (.pdf)

A patient filling out a referral form at Santé Cannabis A patient filling out a referral form at Santé Cannabis A patient filling out a referral form at Santé Cannabis A patient filling out a referral form at Santé Cannabis A patient filling out a referral form at Santé Cannabis