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Self Referral

Doctors visits are free under the Alberta Health Care Insurance Plan (AHCIP)

If you are a new client, please fill up this Self Referral Form and send it to us.

Download Form

Please fully complete all sections of the referral form. Your referral will be triaged by clinical priority based on the information provided. Processing/triage of your referral may be delayed if all sections are not completed. You can send the referral form via Fax, mail, or hand delivered to Canadian Sleep Consultants.


By Fax:
Print and complete the referral form, and return by fax to 587.332.0601

By Mail or Hand Delivered:
Print and complete the referral form, and return by mail or hand delivered to:
Canadian Sleep Consultants
Suite 302 – 11420 27 St. SE. Calgary, AB, T2Z 3R6

Call 587.332.0600 if you require assistance in completing the referral form.