Referral Forms

Note for patients and families: Please note that most organizations require a family physician and/or other healthcare provider(s) to complete the referral form. Please speak to your healthcare professional.

For a complete listing of programs and services, visit Rehab Finder, our searchable database of rehab programs/clinics/services.

The smooth and efficient transfer of patients is critical to ensuring individuals have access to appropriate rehabilitation care when they need it.

To increase consistency, efficiency and transparency in the referral process, the Network has created and implemented standardized, easy-to-use referral forms.

The forms ensure rehab providers receive appropriate detail on a patient's status and specific rehab/care/medical needs. They also reduce workload for referrers who are referring to multiple programs at different organizations.

The development of these forms was funded by the Toronto Central LHIN.

• Inpatient Rehab/CCC Referral Forms
• Outpatient/Ambulatory Rehab Referral Forms