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SLP Endoscopix

Referral Forms

A referral form is only required for voice therapy and Fiberoptic Endoscopic Evaluation of Swallowing (FEES). The voice therapy referral form should be completed by your Otolaryngologist (ENT specialist), while the referral for FEES can be completed by your treating physician (family physician) or specialist.

1.

SLP Endoscopix Voice Therapy Referral Form

2.

THN Swallowing & Dysphagia Clinic FEES Referral Form (located in midtown, Toronto, Ontario)

3.

North Toronto ENT Associates FEES Referral Form (located in Scarborough, Ontario)

4.

Airway ENT and Oral Surgery FEES Referral Form (located in North York/North Toronto, Ontario)

5.

Office of Dr. Wong & Dr. Leung: FEES Referral Form (located in North Barrie, Ontario)

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