Referral forms

Please note, that the information provided on this page is for healthcare providers’ use and is not intended for patient information.
If you are a patient, please see the relevant information under “Services”.

iHealthMD Skin Centre and Acne Clinic Referral Form

Take the First Step Towards Clearer Skin: Request Your Physician to Complete the iHealthMD Skin Centre and Acne Clinic Referral Form

iHealthMD Women's Health Referral Form

Initiate Your Recovery Today: Request Your Physician to Complete This Requisition Form for Pain Diagnosis or Treatment

iHealthMD Podiatry Referral form

No referral is required, however, a referral from your family practitioner is always welcome. Please either call our office or book online directly with Dr. Bolshin or have your family practitioner send us a referral

iHealthMD Skin Centre and Acne Clinic Referral Form

iHealthMD Women's Health Referral Form

iHealthMD Podiatry Referral form