Simple ways to provide a referral

*Get a Referral

A referral is required for your initial OHIP covered appointment booking.

Please get a referral from your Family Doctor, Pediatrician or Midwife. Referral must be issued to your baby's name and to be addressed to Ontario Breastfeeding Network. In case of multiples, each baby must have their own referral.


Patient: Baby's First Name, Last Name
Referred to: Ontario Breastfeeding Network
Referring Practitioner's OHIP billing Number: XXXXXX

*We reserve the right to refuse services because of an incorrectly issued referral.




Bellow is a short referral form (Online or Fax versions), please share it with your healthcare provider:

For your convenience, you can also obtain a free doctor's referral by visiting following virtual clinics here: