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Who We Are
Our Team
Our Services
Behavioural Sleep Medicine and Psychology
Sleep Medicine
Bright Light Therapy
Actigraphy Sleep Monitoring
Melatonin Assessment
Pharmaceutical Clinical Trial Research
Fees for Services
Referral
Self Referral Form
Pediatric and Adolescent Referral Form
Adult Referral Form
Contact Us
Home
Who We Are
Our Team
Our Services
Behavioural Sleep Medicine and Psychology
Sleep Medicine
Bright Light Therapy
Actigraphy Sleep Monitoring
Melatonin Assessment
Pharmaceutical Clinical Trial Research
Fees for Services
Referral
Self Referral Form
Pediatric and Adolescent Referral Form
Adult Referral Form
Contact Us
Adult Referral Form
Download PDF
Patient Information
Referring Clinician Information
Physician
Psychologist
Social Worker
Nurse practitioner
Physiotherapis
WSIB
Other
Reason for Referral
Insomnia
Snoring
Sleep apnea
Excessive sleepiness
Unusual behaviour in sleep
Possible narcolepsy
Depression
Nightmares
Anxiety
Possible body clock problem / Please describe below*
Other mental health issues / Please describe below*
Fatigue related to medical considitions / Please describe below*
Specific referral for
Sleep assessment
Cognitive behavioural therapy for insomnia
Individual psychotherapy for mental health issues
Post-concussion sleep assessment and treatment
Fatigue management
Sleep apnea evaluation
Nightmare therapy
Melatonin testing
Combined Psychotherapy and Bright light therapy
Narcolepsy assessment/treatment
Narcolepsy group
Sleep-related medico-legal assessment
Fitness to drive evaluation
Psychotherapy to help coping with medical conditions or chronic pain
Education about sleep apnea and/or psychotherapy to help to adhere to sleep apnea treatment
Education and psychotherapy for sleep walking or other unusual behaviour in sleep
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