You have been redirected to Are you a physician referring a patient? Yes – click here

Patient information
Reason for consultation
Consult notes (optional)
Family physician

If you are missing information to submit this form, please contact us at 1 (844) 675-2947 / (438) 288-0878 (Mtl).


CONFIDENTIAL ©2015-22 CareAxis Inc. All rights reserved.

Terms of Use Privacy Policy