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​​Download and complete thePDF icon imageAddictions Outpatient Services Referral Form or thePDF icon imageAcupuncture for Addictions Referral form.

Once you have completed the form, fax it to 416 603 5490.

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

Please note: A self-referral will be considered active only when the patient calls our administrative assistant to confirm the self-referral.​

More Referral Links


Go to the Addictions Outpatient Services​