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Patient Referral Form

All patients must be referred by a health-care professional.

For the Asthma, COPD and Smoking Cessation Clinic referrals, please download and print the Asthma, COPD and Smoking Cessation Program Referral Form (30 KB pdf pdf.gif) and ask your doctor to forward it to:

Respiratory Therapy Department
Mount Sinai Hospital
Joseph and Wolf Lebovic Health Complex
117-600 University Avenue
Toronto, Canada M5G 1X5
p  416-586-4800 ext. 5009
f   416-586-3177