How to Refer a Patient to NCT

To refer a patient to us you can either download the forms below
or alternatively you can use the email form to submit your referral.

 

DOWNLOAD PDF REFERRAL

For Adult and Pediatric Neurology In-Person Referrals complete:

Request for Consultation (Form R-1)

For Adult and Pediatric Neurology Teleneurology Referrals complete both:

  1. Request for Consultation (Form R-1)
  2. Booking Form (Form TM-1)

All referrals should be faxed or emailed to:
Email: admin@neurologycentretoronto.com
Fax: 416-860-7559

TELENEUROLOGY REFERRAL

NCT’s mission is to provide timely access to neurologic care by delivering consultative services via Teleneurology directly to the patient in their own home or at designated telemedicine sites throughout Ontario.

Neurology Centre of Toronto utilizes Teleneurology for initial consultations to triage patient care and expedite investigations. At least one in-person follow-up appointment is mandatory following the initial appointment to complete the consultation and review test results. Ongoing care can be managed by either Teleneurology or in-person visits and this decision is made on a case-by-case basis.

SUBMIT REFERRAL BY EMAIL

PATIENT INFORMATION



PHYSICIAN INFORMATION