Fillable PDF Referral Forms

Step 1. Download and fill out the Credit Card form

Step 2. Download and fill out one of the Referral forms

Step 3. Email all PDFs to info@nssr.ca

Please note the requested appointment slot isn’t guaranteed. Someone will reach out with confirmation

Credit Card Form

Referral Forms

Antigen *

NAAT

PCR (Self; Thunder Bay)

PCR (Self; all other locations)

* Antigen pricing for Thunder Bay is $39, and $59 for all other locations.