Diabetes Referral Forms and Health Provider Information

NOTE: A referral from a primary care provider is required for both the DEC and CCDC. 

To make a referral to the Diabetes Education Centre (DEC), print and fax the following form to 416-635-2601:

Diabetes Education Centre Referral Form

Primary care providers wishing to make a referral to the Centre for Complex Diabetes Care (CCDC) can enter their patient information into the electronic referral form below or download and print a copy of the referral form and fax it to 416-635-2601.  

Centre for Complex Diabetes Care Referral Form (online only)

Centre for Complex Diabetes Care Referral Form (print and fax)