Insurer Referral
Have more questions?

No problems! Our clinical team is available to discuss potential referrals. Just get in touch!

Want more info on BHL?

Visit our About Us page for more information on our team, including our amazing Pain Coaches.

Injured Worker Referral Form
Which Program is This Referral For?
Injured Worker's Name
Injured Worker's Address
This person typically responds to:
Is this claim early intervention (up to 12-weeks post injury)?
What type of claim is it?
Click or drag files to this area to upload. You can upload up to 10 files.
Please upload up to 10 files relevant to this claim. These will assist us in assessing the IW's suitability for the program.