Banyan Work Health Solutions has merged with Disability Management Institute (DMI)! We'll be known as DMI going forward. Services currently offered by Banyan will continue to be offered, without interruption, through DMI, including rehabilitation and speciality services, and coaching and training.
Visit DMI's website now



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, 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

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