Skip to Main Content

Communication Technology Clinic

Forms

Prosthetic and Orthotic Clinic

Forms

Criteria

Please include the test results and documentation listed on the form with your referral.

Neurobehavioural & Geriatric Assessment Unit

Forms

Neuro Rehab Physiatry Clinic

Forms

Criteria

Please review the referral criteria listed on the form and include the required test results and documentation with your referral.

Neuro Rehabilitation Clinic

Forms

Criteria

Please review the referral criteria listed on the form and include the required test results and documentation with your referral.

Outpatient Swallowing Clinic

Forms

Criteria

This clinic is for individuals who are 16 years old or older and have swallowing difficulties. Please review the additional details included in the form before submitting your referral.

Pain Management Centre

Forms

Criteria

Patients must be at least 18 years old and have a primary care provider who is willing to follow them during and after discharge from the program, including managing the patient’s prescriptions. The Pain Management Centre does not address acute pain, chronic non-musculoskeletal pain, daily headaches, or known fibromyalgia.

Please include the following with your referral:

  • a complete list of medication, including Coumadin, Plavix, ASA, and opioids
  • all relevant imaging results, such as CT, MRI, or bone scans
  • documentation from other physicians about all related consultations, including surgical reports

Rehab & Complex Continuing Care

Forms

Transitional Care Unit

Forms

Criteria

Please review the exclusion criteria listed on the form before submitting your referral. For patients whose needs require discussion or pre-planning, you can contact us at the information listed below.