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Referral Form

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Thank you for your referral! Psychological services offered at Core Centre are fee-for-service and are reimbursable through many extended health plans and are also tax deductible.
  • Referred Patient Information:

  • Referring Physician/Psychologist/Professional

  • Date Format: MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.
Dr. Ewa J. Antczak & Associates

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