Online Referral Form

You may refer patients to our office by filling out our secure Online Referral Form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically transfer your information. The security and privacy of patient data is of utmost importance to us, and we have therefore taken every precaution to protect it.

Fort St. John Location

Fort St. John Online Referral Form

Prince George Location

Prince George Online Referral Form

Terrace Location

Terrace Online Referral Form