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For Physicians

Referral & Medication Order Forms

Using the links provided, download the Provis Infusion Clinic Patient Referral Form in adobe (.pdf) format and return it via fax: (416) 532-3635

Form Links:

Patient Referral Form | Medication Order Form(s) 

Neurology, Rheumatology & Oncology:

View All Forms:

If you still have questions or require further assistance please contact us.

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