MD Referral

OHIP referrals are accepted for Migraines, Hyperhidrosis, TMJ/Bruxism disorders. If the patients meet Treatment Criteria, most insurance companies will cover the cost.

Injection fees are not covered and the patients responsibility.

Please see our Criteria Page under Treatments for eligibility information.

Consultations are usually done within 1-2 weeks from when the referrals are received.

Referring Physician Details:

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Billing number

Referral Details

Please enter patient details including health card number