top of page


Thank you so much for visiting my website! I love meeting like-minded professionals like you.

Please fill out the form below to refer a patient, or email my office:


Referral Form

We accept referrals from all Medical/Dental Professionals, Speech Language Pathologists, Chiropractors, Physical Therapists, Occupational Therapists & more.


*At this time, we are currently only accepting  patients from Ontario.

**Our caseload is currently at capacity, and to ensure optimal care for our existing patients we are scheduling four months in advance. If you have an urgent case please don't hesitate to contact us directly.

We appreciate your trust and patience!


Thank you!

Professional Referral Form

Referring Professional Information

Patient Information

Reason For Referral (check all that apply)

Thank you for your referral!

bottom of page