Refer a Patient For Pessary Care
Collaborating with healthcare providers to deliver timely, compassionate pessary care. Simply send us the completed PDF form.
Patient Referrals – Pessary Fitting
Specialized Pessary Fitting For Your Patients
Toronto Pessary Clinic provides specialized assessment, fitting, and follow-up care for women requiring pessary support. We work with referring physicians and other healthcare providers to ensure timely, conservative, and compassionate management of pelvic organ prolapse and stress urinary incontinence.
Who To Refer
Please consider referring patients for pessary assessment and fitting if they present with:
Symptomatic pelvic organ prolapse (pressure, bulging, heaviness).
Stress urinary incontinence (leakage with coughing, laughing, sneezing, or activity).
Urinary frequency or urgency, secondary to pelvic organ prolapse.
Desire for non-surgical management of pelvic floor conditions.
Relief of prolapse or urinary symptoms while awaiting surgery or during reproductive years.
Need for pessary follow-up, replacement, or ongoing care.
Our Referral Process
We make referrals straightforward for you and your patients:
Complete the referral form below and fax. (855) 915-0292
Our clinic will contact the patient directly to arrange their appointment.
Following the fitting and assessment, a summary update will be sent to your office to maintain a multi-disciplinary, collaborative approach to healthcare.
Referral Form
Referral Contact Information
Please send completed referral forms to:
Toronto Pessary Clinic – Referrals
Fax: (855) 915-0292
Phone: (437) 889-8922
Why Refer To Toronto Pessary Clinic?
Exclusive focus on pessary assessment and fitting.
Experienced physiotherapists who developed and teach the most comprehensive pessary fitting course across North America.
Compassionate, trauma-informed care tailored to each patient.
Timely access - minimal wait times.
Most comprehensive selection of pessary types and sizes.
Collaborative communication with providers.