Referrals


On this page you will find a variety of patient forms. Please download and print off anything you might need, and feel free to call the Thornhill office at 905-886-1212.

Our new referral form can be printed off and filled out with the patient and referring doctor’s information. Please keep in mind that E-Consultations can only be initiated by a doctor and that information sent to us by patients via email (gmail, yahoo, hotmail etc.) will not be viewed by our team. The security of patient information is very important to us; please help us protect your medical data by allowing your family doctor to safely and securely send us your documents through electronic means. If you have any questions about our new referral form, please call the office at 905-886-1212.

Download the Wilderman Medical Clinic Referral Form here

Ultrasound and Bone Mineral Density Test Referral Form

CPC referral form for legal represenatives

CPC referral form for doctors

 

 

Copyright © Wilderman Medical Clinic, 2007 - 2017, All Rights Reserved