Referrals

Submit Your Referral Form

Please select a referral form from the list below. You can choose between the Online version (submitted electronically) or PDF (to be printed and forwarded to Banyan Work Health Solutions’ Administrative Centre by email, at admin@banyanconsultants.com, or via fax to 416-588-9235 or toll free fax at 1-877-263-0123).

 

Click Below
PDF Online
Banyan Referral Form – Employer Notification Form  pdficon   onlineicon
Banyan Referral Form – Insurer Services Rehabilitation Case Management     pdficon   onlineicon
Banyan Referral Form – Specialty Services  pdficon   onlineicon
Banyan Referral Form – PillCheck™  pdficon   onlineicon

Free Consultation

When you need help, send us a note or give us a call.

Book A Demo

Learn more about our suite of technology solutions.

Make A Referral

Easily make a referral by submitting a simple form.

Book A Speaker

Call us to speak at your next event!