Communication made easy…..
You can download and view our referral slip by hitting the buttons above.
Note: to download and view the referral slip, you will need Adobe Reader.
- You can fill out the ClearCare referral slip electronically and email it to us at info@clearcareperio.com
OR
- You can print out the ClearCare referral slip and fax it to us at (204) 421-9206
OR
- You can print out the ClearCare referral slip and mail to us at 2nd floor- 191 River Ave, Winnipeg Manitoba R3L 0B1