ISCOPE

Referral Forms

Please select the appropriate requisition form based on your location.

Infusion Referral

BC Requisition Form

BC Sleep Apnea Form

ON Requisition Form

ON Chronic
Pain

AB Requisition Form

NS Requisition Form

MB Requisition Form

ON EMG Requisition Form

Spasticity Management

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.

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Are You Registered Patient

New Patient

BOOK NOW

Are You Registered Patient

New Patient