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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 
) 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 416-586-4507
