Online Self Referral


Please click below to submit a request for appointment online – you will hear back from us within 1 week

Please note the following:

  • Online Self Referral is not available for patients wanting to be seen at our Peel Memorial Maternity Care Clinic. Please see next section
  • This messaging system is only for booking initial visits with providers and is not to seek medical advice.
  • Our physicians are only accepting pregnant women for obstetrical care and not patients for their family practice. After delivery you will be directed back to your current family physician.

Referrals to our Peel Memorial Maternity Care Clinic


If you would like to be seen at our Maternity Care Clinic at Peel Memorial please download our referral form here. Either you can have your family physician fax us this form, or you can self refer by calling the clinic or faxing the form yourself.


Referrals from Other Physicians


Your family doctor can also refer to us and care will be returned to him or her after your delivery.

Please ask your family physician to fax a referral to the physician/location of your choice (refer to “our team” and “contact” page).


To our family doctor colleagues


We will see your patients within 2 weeks and return them to your care after delivery. If your patients need to be seen sooner, please just call us.

Thank you for referring your patient to our group. It is a pleasure to work together with colleagues in our community.