Regarding COVID-19: Canabo Medical Clinic offers virtual and phone appointments. Contact us or call us toll-free at 1-888-282-7763.

Online Patient Referral Form

Online Patient Referral Form 2019-04-23T18:44:44+00:00

Referral to Service:


Mental Health

Physician Information:

File types allowed (docx, doc, pdf)

Please attach any relevant medical history, all pertinent scans/imaging and any pertinent consults from other physicians or specialists. Patients will NOT be seen without this information.


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