Refer A Patient

Please use our online forms below to refer a patient.

Alternatively you can download a referral form below and email it to referrals@unifymenshealth.com or fax it to the appropriate number.
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Consult Referral Form
Procedure Referral Form
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IMPORTANT NOTE: Although we use a secure and encrypted email service provider, we cannot completely guarantee the security of the information being sent via email due to the nature of the technology. If your patient has not consented to have their information sent via email, please send it via fax.

Unify Fax Number:
416-745-1511

Orthopaedics Fax Number:
416-441-2246

Family Practice Fax Number:
416-487-2508