Forms & Downloads

The standard referral form covering all indications, all locations, and all funding pathways. Submit by fax to 1 (888) 906-4268 or email to info@evolvehbot.ca.

• Patient demographics and contact information
• Suspected indication and supporting diagnostic information
• Recent imaging, operative reports, or wound photos (attach as PDF)
• Urgency and preferred Evolve location
• Referring physician signature and CPSO number

Quick-reference one-pagers showing what documentation accelerates each referral type — for example, what is needed to refer a diabetic foot ulcer (recent TCOM, prior wound-care records, ABI, A1C) versus what is needed for ISSNHL (audiogram, ENT consult note, timeline of onset).

A plain-language overview: what HBOT is, what to expect at your visits, what to wear, what not to bring, side effects, and safety. Provided to patients at booking and reviewed at consultation.

• Clothing recommendations (100% cotton garments provided at the clinic if needed)
• Items not permitted in the chamber (lighters, electronics, petroleum-based skin products, makeup, contact lenses by case-by-case discussion)
• Medications and supplements to disclose at consultation
• Eating and drinking before treatment
• Driving after treatment (most patients drive themselves; exceptions discussed at consult)

• What to expect immediately after a session
• How to manage ear pressure if you have it after treatment
• When to contact us between sessions
• How to spot a side effect that warrants pausing treatment

Used for the OHIP-covered indications Evolve treats. Covers HBOT risks (barotrauma, oxygen toxicity, claustrophobia, fire risk), benefits, alternatives, and the right to discontinue treatment.

Used for any indication outside the OHIP-covered list. In addition to the standard HBOT risks, this consent document explicitly acknowledges:

• That the indication is off-label / not OHIP-covered
• The state of the published evidence (including where evidence is limited or mixed)
• That outcomes cannot be guaranteed
• The cost structure and refund policy

This is the document we use to make sure patients pursuing off-label HBOT have a clear, honest understanding of what they are choosing.

Summary of accredited and self-directed CPD opportunities offered through Evolve for referring physicians, including grand rounds, indication-specific case discussions, and on-site shadowing days at our clinics.