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Rocket Family Upper Extremity Clinic - Referrals

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​​​Standard Referral

To complete the standard referral process, first download and complete the physicianreferral form.

Once you have completed the form, please fax it to Debbie Hebert, Clinic Lead at 416 597 7111. 

The form will be reviewed to ensure that it is complete; if incomplete, the form will be returned to you.

Our office will contact the patient directly with their first appointment.  Please call the Clinic Lead, at 416 597 3422 ext. 3505 if you do not receive information about your first appointment within a few weeks.​

More Referral Links


Go to the Rocket Family Upper Extremity Clinic​