Our Referral Process

To start your journey with us, please complete our secure online self-referral form below. Follow these steps for a smooth referral process: Please note that most treatments are covered under OHIP.
Provide your personal information, medical history, and details about your current condition. Be as thorough as possible in describing your pain or symptoms to help our specialists understand your needs.
After you submit the form, our team of specialist doctors will carefully review your information. We may contact you if additional details are needed to assess your situation.
If your referral is deemed suitable, we’ll reach out within 3-5 business days to arrange your initial consultation.

Complete Your Self Referral today

We understand how chronic pain impacts your life, and we’re here to help. Please complete the form below to refer yourself for care at Silver Physio Centre. Our team will contact you shortly to review your submission and coordinate the next steps.

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What is the primary area of concern? (Please select the most relevant option)
Name
Address
Do you have a Family Doctor?
Do you have results from an X-ray, MRI, or any other test related to your pain condition?
Are you currently taking any medications?
Service Requested (Please select all that apply)
How would you like to hear from us? (please select at least one option)

Contact Us for Assistance

If you need help with completing the form or have questions about the self-referral process, feel free to reach out: