Make Your Referral Today

Save Time by completing our online referral form

Referral form designed with HR managers
All Information is confidential
Focuses the assessment on the real issues at hand
Simply fill in the required form below

Make Your Referral

Refer to MyOccHealth Online

Making a referral to MyOccHealth couldn’t be easier, simply follow the steps below:

  1. Download your referral form here AND consent form here.
  2. Complete both the referral and consent forms and upload them in our referral portal below.
  3. Click confirm; please note you will be directed to paypal for payment (pay with your paypal account or click check out as guest to use a card).

Following receipt of referral our occupational health specialist will contact your client directly, but we will contact you to confirm that your referral and payment have been received.