Please fill in and submit this form and we will call you to confirm and book an appointment. This form is also used for registration in our Group programs – see Groups under Reason for Referral.

Please note that our services are not covered by OHIP.  A doctor’s note or prescription is not required by us, but may be required by your extended health insurance.

Feel free to give us a call directly at 1-800-554-8118 or send an email to referrals@modernOT.ca.

Check out our FAQs page for answers to the most common questions about our services.