Physician Referrals

Refer your patient to Kindercare Pediatric Specialists!

Please choose one of the following methods to refer:

1. FAX (choose either option):

  • Fill out our referral form, and then fax it to 416-848-7664
  • Fax your standard referral request letter to 416-848-7664

2. OCEAN EREFERRAL:

3. REFERRING PHYSICIAN WEBFORM:

Referring Physician Information

six digits, numeric only

Patient Information

must be 10 digits, numeric only
must be 2 characters, alphabet only

Referral Type & Urgency

Referral To (select all that apply)
Referral Urgency (select one)

Review and Confirm

PLEASE FAX ADDITIONAL DOCUMENTS TO 416-848-7664

IMPORTANT – Please add child’s name on all faxes.

Please confirm all information above is correct *