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referral forms
Our Specialists accept self-referrals or referrals from your family physician.
Download either of the forms below and fax to 587-332-0601 or email it to info@mykidz.ca once completed
Download either of the forms below and fax to 587-332-0601 or email it to info@mykidz.ca once completed
| Physician referral form |
| Patient Self-referral Form |
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General Forms
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| Release of Patient Information Form |
