Patient Referral Forms

Symphony is proud to announce NEW services for your patients:

  1. Pulmonary Function Test (PFT)

  2. Respirology Consultation

    1. - Dyspnea and other Chronic Respiratory Health conditions

  3. Internal Medicine Consultation

    1. Resistant HTN

    2. Hyponatremia

    3. Kidney dysfunction

    4. Liver dysfunction

Please use the current online Referral Form or send your own referral to request these.

Symphony Consolidated Referral Form

Coming soon... Care path-based downloadable and fillable PDF Referral Form

Please check back regularly for updates.

You can upload our Requisition Form to your EMR for quicker reference. Please fax the forms to (587) 885-3850 when completed.