Referral Form

Contact Us Referral Form

We’re in This Together

Are you in need of an independent assessment? Whether you’re an insurer, a member of the legal community, an employer or a member of the government we can provide you with the high-quality, defensible and evidence-based medical assessments your discipline requires. We’ll guide you through every step of the assessment process.

Web Referral Form

Give us your contact information, information about the examinee and your objectives for the assessment and we’ll match you with the right expert to assess the case in a timely manner.

  • Current Referral Source Information
  • Examinee Information
  • Your Referral

Referral source information:

Please provide us with information about yourself:

Locations Across Canada

We provide service out of 9 administrative locations and over 300 clinics across 9 provinces.

Locations across Canada

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