Give us a call now: 519-279-6546

Home
Services
Join Our Team
Referrals
Blog
About
Contact

Referrals

You are here: Home / Referrals

Referrals

The following form is designed to facilitate the rapid assignment of professional resources. Please complete the form and click on the “submit” button. A consultant will be in touch shortly.

Your Name*
Prefix First Last
Name of Firm
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
Services Required*
- Case Management
- Occupational therapy
- Job search assistance
- Speech language therapy
- Vocational assessment
- Life Care Plan
- Rehabilitation therapy
- Labour market study
- Personal counselling
- Home or worksite assessment
- Acute medical case management
- Assistive devices specification and placement
- Attendant care assessment
- Cognitive therapy
- Discharge planning
- Employability assessment
- Ergonomic assessment
- Family re-integration
- Functional Ability Evaluation
- Home or community-based exercise therapy
- Job coaching
- Pain management medical assessment
- Physical demands analysis
- Pre-claim assessment
- Present value determinations
- Recreation and leisure
- Social rehabilitation counseling
- Transferable skills assessment
- Vocational or academic training
- Work hardening program
- Workplace re-integration
Date of occurrence and description of client's illness or injury*
Current course of treatment and practitioners
Additional Information

Office Hours:

Mon-Fri: 8:00-19:00
Sat: 8:00-14:00
Sun: closed

Apex Health Network Head Office

640 Chesapeake Drive
Waterloo, ON
N2K 4G7

Contact Us

admin@apexhealthnetwork.ca
Telephone: (519) 279-6546
Fax: (647) 793-3983

© Copyright - Apex Health Network

Scroll to top