Physician Referral

At Clinical Orthotic Consultants, we take the time to assess each patient and develop an appropriate treatment plan based on their individual needs and orthotic requirements.

To refer your patient, please complete one of the following submission methods:

1. Submit Online: Complete the provided online form, including the referral details OR attach a copy of a completed Referral Form.
2. Email: Send the completed Referral Form as an attachment to info@cocwindsor.com.
3. Fax: Fax a completed Referral Form to (519) 944-8360.