Referral Form

The Ability Clinic

755 Queensway East, Suite 304 Mississauga, ON, L4Y 4C5

Thank you for choosing The Ability Clinic. Please fill out this form to ensure that your patient receives the appropriate care. All information is Private and Confidential

    Patient Information






    Referring Provider








    Medical

    As AppropriateRheumatologyPhysical Medicine and RehabilitationLifestyle & Preventative (Internal Medicine)Sports MedicineNeurology

    Recovery & Wellness



    Physicians

    ocean

    Referral
    ( Online)

    adobe

    Referral
    ( Paper)

     

    Please note: We do not perform fluoroscopic-guided spinal intervention procedures.

    For this, we strongly recommend our trusted community partner Bloor Pain Specialists.

    Bloor Pain Speciality

    755 Queensway East

    Mississauga ON L4Y 4C5

    SUITE 303
    REHABILITATION SERVICES
    (Physiotherapy, Massage Therapy, Chiropractic, & more)

    SUITE 304
    MEDICAL SERVICES
    (Specialist consultations, NCS/EMG,
    US-Guided Injections, & more)

    P: (905) 826 – 4048
    F: (905) 826 – 7201

    Info@abilityclinic.ca
    Referrals@abilityclinic.ca

    Mon-Fri: 8 am to 5 pm
    Saturday-Sunday: Closed
    (Hours and availability may vary)

    Book Therapy