Contact our team

Call our office

+1 (416)-650-1911

+1 (416)-650-5735 (Fax)

Email us

referrals@alliancemedical.ca

Medical Centre Location

1881 Steeles Avenue west, Suite 204A, Toronto, ON M3H 5Y4, Canada

1. Download the referral form

You can get the form in PDF format by clicking the link below.

2. Fill out the form

Share the form with your doctor and fill it out together.

3. Send the form back to us

You can send the form to us via email, fax, or letter mail. We handle the rest.