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Doctor filling a referral form for their patient

Referral forms

For CPAP & Home Oxygen Therapies

Do not hesitate to contact us for any assistance or advice on our products and services.

Our clinical teams are ready to contact your patient as soon as we receive their information.

Contact information

Alberta

Phone: 1 800-252-9384

Direct referral: 1 855-627-8278

Fax: 1 866-274-4183

 

British Columbia

Phone: 1 800-637-0202

Fax: 1-866-812-0202

 

Manitoba

Phone: 1 800-252-9384

Fax: 204-633-1091

 

Ontario

Phone: 1 800-567-0202

Fax: 905-455-5499

 

Prince Edward Island

Phone: 1 877-362-2473

Fax: 902-894-3233

 

New Brunswick

Phone: 1 877-362-2473

Fax: 506-548-9463

 

Newfoundland & Labrador

Phone: 1 800-563-2698

Fax: 306-721-3010

 

Nova Scotia

Phone: 1 800-361-5939

Fax: 902-852-3997

 

Quebec

Phone: 1 800-465-1539

Fax: 450-979-6660

 

Saskatchewan

Phone: 1 800-252-9384

Fax: 306-721-1273

Downloadable PDF Referral Forms

Download the referral form designed for your province. You can fill it out on your computer or by hand, and send it to us as an email attachment, or over fax.

After regular business hours please call us if you need to set a patient up with oxygen. We provide 24/7 phone support.

Why choose us

  • 01

    Individualized approach

    We listen and observe to personalize your patients' CPAP or oxygen therapies, and support them for better results

  • 02

    Accredited

    Our processes & procedures are accredited by Accreditation Canada, the same group that endorses hospitals

  • 03

    Clinical leaders

    We offer the best clinical expertise in the country, so your patients can fully benefit from a clinical CPAP or home oxygen experience