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Referrals

Please send all requisition forms to info@ascendrehabilitation.ca

If you are looking to refer a patient to our clinic, our requisition form is available to be downloaded below, and will function with TELUS EMR software.

Ascend Rehabilitation Collective Referral FormDownload

Alternatively, if the custom form above does not function with your EMR software, please download the PDF below.

ASCEND-Requisition-FormDownload
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