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Referral form

Referring Providers (Midwife, Physician, Nurse Practitioner, Nurse, Social Worker) please complete this fillable PDF and email to alixandra@adhdpregnancy.ca. Please note MSP will cover up to 4 sessions and only until 6 weeks postpartum.

Not covered by MSP? Please complete the referral form and note private pay. The rate is $136.77/hr CAD.

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