How to Make a Referral

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1. Complete the following Rehabilitation Services forms:
   • » Authorization for Information Release (to be completed by the employee only)
   • » Employee Referral (to be completed by the employer)
2. Fax or mail in completed forms

Submit Completed Forms to:

• Vancouver DMSO: vancouver.dmso@canadalife.com or Fax: 1.844.816.1038
• Langley DMSO: langley.dmso@canadalife.com or Fax: 1.844.569.3131
  

Questions:

Phone: 1.855.787.0691