613-526-7126 
Referral Forms
Referral Forms
- Referral Form – Adult Services (PDF)
- Referral Form – Pediatric Services(PDF)
- Referral Form – Audiology Services(PDF)
Please forward referral forms by fax (613) 526-7126, by mail to the Interprofessional Clinic, 1750 Russell Rd., Ottawa ON K1G 5Z6, or in person.
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