Integrative Oncology & Supportive Care Clinic | Chris O'Brien Lifehouse

Use this form to request a holistic medical assessment from our Integrative Oncology and Supportive Care Specialist. This will involve an assessment of how we can provide holistic supportive care to keep you living well with cancer. Recommendations may include lifestyle changes and evidence-based physical and complementary therapies. Our specialists can support you through the symptoms and side effects of cancer treatment from the time of diagnosis and beyond treatment.

You will need a medical referral to make an appointment. Please upload a copy of the referral letter to this request.

First Name*

Last Name*

Address*

Phone*

Email*

Symptoms or Concerns*

Referring doctor*

Provider number*

Please attach your referral letter below

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