Referral Form

The Temiskaming Maternity Care Group is a group of Family Medicine physicians providing complete medical care during your pregnancy, childbirth and the postpartum period. Our goal is to provide you with individualized and evidence based care so you will have a healthy pregnancy, safe delivery, and healthy baby. We have a strong culture of teamwork and patient-centered care. We aim to make your pregnancy and delivery as natural and safe as possible, involving you in decisions about your care and working closely with other health care professionals to ensure the best outcome for you and your baby.

Our group accepts referrals through our centralized referral form. Every effort will be made to attach a patient to their preferred provider but at times due to volume and referral controls, you may be matched to an alternate provider. Click here to access the centralized Referral Form. For patients who have no current primary care provider, we also accept self-referrals. We will make every effort to match you with a provider that will also be able to accept you into their Family Medicine practice post-delivery. If you are not currently registered on Health Care Connect and would like to sign up, click here.

For primary care health professionals providing pregnancy care, here is a resource available for primary care in pregnancy. Click here.

To submit your referral, you will need to:

  1. Download the Maternity_Care_Centralized_Referral_Form
  2. Print the form
  3. Complete the form
  4. Fax the form and all required prenatal documents to 705-672-5900