Doctor Examining Patient

Referral Kits for Physicians & Nurse Practitioners

LARC Referral Package

Dr. Manning is a Family Physician with a special interest in women's health and dermatology. Her focused practice designation is pending. 

Patients may self-refer for all appointments, but sending a referral will limit outside use penalties for referring physicians and nurse practitioners who belong to a FHO/FHT model.


Dr. Manning has created the following Referral Package to support the counselling required to prescribe Long-Acting Reversible Contraception (LARC), including intrauterine contraception (IUDs) or the Etonogestrel Contraceptive Implant (Nexplanon). By providing your patient with this information and a prescription, you may refer your patient for single-visit access to the LARC insertion procedure.


If you are unable to provide the LARC counselling or would like Dr. Manning to provide a Birth Control consultation first, Dr. Manning is happy to see your patient during a virtual birth control consultation as a separate phone or video visit.

* All referrals must include the patient's email address for booking.

(Download the fillable form)