1-888-550-5508

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REFERRAL FORMS

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REFERAL FORMS
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ISCOPE

Referral Forms

Please select the appropriate requisition form based on your location.

Self Referral

Click Here

Infusion Referral

Download Form

BC Requisition Form

Download Form

ON Chronic
Pain

Download Form

AB Requisition Form

Download Form

ON Requisition Form

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BC Sleep Apnea Form

Download Form

ON EMG Requisition Form

Download Form

Spasticity Management

Download Form

NS Requisition Form

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MB Requisition Form

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Refer a Patient

iScope is currently accepting new patients. A referral from your primary care physician or specialist is required for consultations covered by your provincial plan. If you require rehabilitation services a referral is not required.
Learn more →
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SERVICES

VANCOUVER

Suite 830 – 475 West Georgia St Vancouver, BC V6B 4M9
P: 1-888-550-5508
F: 604-900-7676

NORTH VANCOUVER

Coming Soon Suite 301 – 1111 Lonsdale Ave North Vancouver, BC V7M 2H4
P: 1-888-550-5508
F: 604-900-7676

BURNABY

Suite 301 – 3185 Willingdon Green Burnaby, BC V5G 4P3
P: 1-888-550-5508
F: 604-900-7676

SURREY

Suite 301 – 9639 137A St Surrey, BC V3V 0C6
P: 604-900-7007
F: 604-900-7676

LANGLEY

Suite 200 – 8837 201 St Langley, BC V2Y 0C8
P: 1-888-550-5508
F: 604-900-7676

EDMONTON

Coming Soon Virtual Clinic Now Open
P: 1-888-550-5508

CALGARY

Opening soon at 3670 63 Ave NE , Suite 260
Calgary, AB
P: 1-888-550-5508

MISSISSAUGA

Suite 500 – 89 Queensway West Mississauga, ON L5B 2V2
P: 1-888-550-5508
F: 416-900-7006

HALIFAX

Coming Soon Virtual Clinic Now Open
P: 1-888-550-5508

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