Referrals

To make an appointment with Dr. Keith or Dr. Ip, please contact Ms. Linda Iacono, our office manager, at (905) 388-0998 or .

A physician referral is not usually required for psychological services, unless your Employee Extended Health Plan requires a referral prior to reimbursement. 

WSIB/Canadian Military/Motor Vehicle Accident Referrals

If you are a health professional and wish to refer your client for psychological services, we have provided an online referral form below for your convenience.  This form is encrypted to ensure confidentiality.

Motor Vehicle Accident Client

Non - Motor Vehicle Accident Client

You may wish to download the form below and submit by fax (905-388-2984) or email. 
To download this form (Microsoft Word Format), please right click on the link and choose "save as" or "save target as".

Motor Vehicle Accident Client

Non - Motor Vehicle Accident Client

Please contact Linda for additional information or assistance with making referrals.  ().