rTMS Clinic Request for Consultation
This form is for physicians to refer a patient for assessment at the rTMS Clinic at UHN. Please download the printable form and fax the completed referral to the rTMS clinic at:
If you are a person seeking treatment, please do not submit the form on your own. Instead, please ask your family doctor or another physician to submit the referral. Due to OHIP rules, a physician’s referral is required for specialist consultations.