Download the Metro North Health referral templates

By clicking the links below, referral templates will download automatically. Please read the referral importing instructions prior to downloading.

Important note: The referral templates provided are not to be used by Medical Officers employed within Metro North HHS for referring patients to hospital outpatient services. Medical Officers may refer Category 1 patient by completing the Inter-Facility Speciality Outpatient Referral Form (to refer patients to another Metro North facility for a new condition) or Internal Referral Form (within the same facility). Medical Officers are to redirect patients to their General Practitioner for consideration of referral for non-urgent health conditions.