Thank you for choosing the Grand Bend Area Health Centre for your referral.
The referral form below has four sections:
- Patient Information
- Referral Information
- Programs & Services Requested
- Referring Primary Care Provider Information
This form may be used for clinician referrals, and, self referrals to Choices of for Change, Occupational Therapy, Better Breathing Team and Diabetes Education.
Your referral will be processed in seven business days, or less.