Patient Referral Form for Doctors
At Total Care Health, we value strong partnerships with healthcare providers in Surrey and the surrounding communities. If you have a patient who would benefit from chiropractic care, physiotherapy, or massage therapy, please use the form below or send us your referral directly.
We are committed to providing timely, collaborative care and ensuring your patients receive treatment tailored to their unique needs.
How to Refer a Patient
Doctors and healthcare providers can refer patients to us in the following ways:
- Complete the referral form on this page (preferred method).
- Fax the referral to: 604-930-0048
- Email a referral securely to: contact@totalcarehealth.com
Why Refer to Total Care Health?
- Multidisciplinary Approach – Our team includes chiropractors, physiotherapists, and massage therapists who collaborate to support the best outcomes.
- Clear Communication – Referring doctors are kept updated on their patient’s progress and care plan.
- Timely Appointments – We prioritize patients referred by healthcare providers to ensure they get the care they need without long delays.
Referral Form
Please fill out the information below so we can contact your referral:
Thank You for Your Trust
We never take your trust lightly. When you send someone our way, you’re putting your reputation in our hands, and we are committed to making their experience as positive and healing as yours.
“At Total Care Health, our greatest compliment is when a patient tells a loved one about us. That’s how we know we’ve made a real difference.” – The Total Care Health Team
Start Referring Today
If you know someone who could benefit from chiropractic, physiotherapy, massage, or any of our services, send them our way—we’d love to meet them.
Call us today to schedule

