Practitioner Referral Form

Please submit this form for referrals to the doctors at Flow Functional Health Care. We accept referrals from allied health providers for prolotherapy injections and general naturopathic medicine. Your referrals are prioritized for scheduling as waitlist times may vary.

By completing this form, you have consent from your patient to provide their personal information to our clinic. We recommend documentation of your patient's consent per your regulator's requirements. After we receive this form, our staff will contact your patient directly and schedule them for their consultation.

Our staff will clearly communicate all costs of consultations and/or treatments to the patients upon scheduling.

If you have any questions about this form, please contact us at 780-760-3569 or admin@flowyeg.ca