A copy of this form will also be emailed to you, the referring physician.
IMPORTANT: Please print a copy of our Kidcrew Info Page for the patient you are referring.
Our FAX: (647) 689-2371
IMPORTANT: FOR LACTATION CONSULTS: Please fill out two forms - one form with the parent's information and one form with the baby's information.
REMINDER - Please include child's name on your faxes.
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