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​​​​​​​​​​​Steps for a Complete Referral

STEP 1: Does your patient meet the admission criteria for outpatient therapy?

  • Confirmed diagnosis of a recent stroke (up to two years post)
  • Medically stable
  • 18 years of age or older
  • Able to identify rehab goals for functional improvement for one or more of the following services: occupational therapy, physiotherapy, speech-language pathology, social work
  • Demonstrates ability and willingness to engage in new learning, and to practice learned strategies in everyday life
  • Able to participate in a minimum of 30 minutes of therapy per therapeutic service needed
  • Can manage independent toileting, or can be reliably accompanied by someone who can provide assistance
  • Does not demonstrate behaviours that would pose risk to self or others
  • Have reliable transportation to and from rehab​

STEP 2: Choose a referral form option.

E-Stroke Referral System – for those physicians/teams who have access to this system or login to the system at


GTA Rehab Network Outpatient/Ambulatory Rehab Referral Form. The referral form can also be downloaded from the GTA Rehab Network website.

STEP 3: Include the following information with your completed and signed referral.

  • Relevant information related to the stroke event (consultation notes, etc.)
  • Medical admission and/or discharge summary
  • MRI/CT scan report
  • Other stroke investigation test results
  • Current medication list
  • Any available admission or discharge reports from allied health (e.g., Occupational Therapy, Physiotherapy, Speech-Language Pathology, Social Work, Psychology) ​

PLEASE NOTE: If this information is not included with the referral form, the referral may be returned as incomplete.

STEP 4: Choose your referral destination.

Please note that both sites offer similar services. We suggest that you speak to the Stroke Service Coordinator at either site to discuss where we can serve your patient best. It may not be the site closest to their home.

STEP 5: Send referral.