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NYGH REFERRALS

Addictions (RAAM)

Referral for RAAM, Dr Joshua Fletcher

ASCO_Medical_Referral_Form_FINAL_FINAL_uae_0fa0bbe61b (2)
.pdf
Download PDF • 277KB

Concussion


360 Concussion Care, all ages (Yonge & Eglinton)

360 Concussion Care Referral
.pdf
Download PDF • 184KB
360 Concussion Care Patient Info
.pdf
Download PDF • 74KB


Holland Bloorview, age < 18 only (Eglinton & Bayview)

Peds Holland Bloorview Concussion
.pdf
Download PDF • 349KB
Peds Holland Bloorview Concussion Discha
.
Download • 14KB

Cardiology

  • Cardiac Care North York- Rapid Access Program - Dr Morant/Bajaj

CCNY Rapid Access Referral Form
.pdf
Download PDF • 78KB
CCNY Rapid Access Pt Letter
.pdf
Download PDF • 161KB


  • Alliance Medical (Rapid Cardiology Consultation)- see GIM


Dentistry

NYD Dental Handout



Dermatology

Avantderm

Avantderm Referral-Form-2019
.pdf
Download PDF • 191KB

Bayview North Dermatology (NYGH staff, Bayview & Finch)

(Arrange referral to clinic order on Cerner)


Canadian Dermatology Centre (Don Mills & York Mills)

Canadian Dermatology Referral
.pdf
Download PDF • 176KB

Virtual consult followed by in person derm or plastics

getskinhelp
.pdf
Download PDF • 38KB
getskinhelp referral
.pdf
Download PDF • 58KB

Toronto Dermatology Centre (401 & Bathurst)

Toronto Dermatology Referral
.pdf
Download PDF • 253KB

Dizziness

Avenue Dizziness & Balance Clinic (Avenue & 401)


Vestibular rehab (Toronto General)


Eating Disorders

Toronto Psychology & Wellness Group (Yonge & Lawrence)


Gastroenterology


Digestive Health Clinic (Formerly Upper Canada Lower Bowel Clinic, Yonge & St. Clair)

Digestive Health Clinic (upper canada lower bowel)
.pdf
Download PDF • 629KB

Don Valley Endoscopy Clinic (Victoria Park & Sheppard)

Don Valley Endoscopy Clinic-Referral-Form
.pdf
Download PDF • 162KB

Holly Endoscopy (Yonge & Eglinton)

Holly Endoscopy clinic
.pdf
Download PDF • 80KB

Provis-Rudd Clinic (University & Edward)

Rudd Clinic
.pdf
Download PDF • 160KB

GIM

Currently accepting referrals for Cardiology, Neurology and General INternal Medicine consultation.


Alliance Medical Referal Form (3)
.pdf
Download PDF • 166KB


Gynecology



Hematology/Oncology

Hematorlogy-Oncology-Referral-Form-Nov2017.pd
.pdf
Download PDF • 389KB

Interventional Radiology

Kyphoplasty/Vertebroplasty at Sunnybrook Hospital

Sunnybrook MI and IR - request-for-consult--generic-
.pdf
Download PDF • 574KB

Lifestyle Medicine


Midwifery


Neuro-Ophthalmology

Toronto Eye Specialists and Surgeons (Bathurst & Eglinton)

Clinic times: Monday, Tuesday, Thursday 8a-1p

Dr. Edward Margolin edward.margolin@uhn.ca

Neuro Ophthal Referral Dec 12 2022
.docx
Download DOCX • 14KB

Neurosurgery

  • Sunnybrook Centre for Neurovascular Intervention

centre-for-neurovascular-intervention-referral-oct25-2021
.pdf
Download PDF • 125KB

  • UHN Krembil Brain Institute

Fax a referral letter, clinical notes and all relevant diagnostic tests to 416 ​603 6282


  • RAIN (RAPID ACCESS IN NEUROSURGERY)


RAPID ASSESSMENT IN NEUROSURGERY
.pdf
Download PDF • 45KB

RAIN Clinic e-poster
.pdf
Download PDF • 615KB

Oncology

Acute Leukemia Referral Network (Central Regional Cancer Program)

AL referrals infograhic_Central
.pdf
Download PDF • 313KB


Oral Maxillofacial Service



Pain Clinics

Afiya Pain Clinic (Wellesley & Parliament)

Afiya_ER Patient and ReferralForm
.pdf
Download PDF • 188KB

Silver Pain Clinic (Dufferin & Finch)

Silver-Pain-Centre-Referral-Form-May2023
.pdf
Download PDF • 69KB

Wilderman Pain Clinic (Yonge & Centre St)

wilderman pain clinic
.pdf
Download PDF • 183KB

Danforth Pain Clinic


Accepting New Referrals + Incoming Form.docx
.pdf
Download PDF • 113KB


Pediatrics


Allergy @ Bloorkids Pediatrics (Bloor & Bathrust)


Bloorkids-Referral-Form-updated-29-June-2022
.pdf
Download PDF • 190KB

Allergy @ North Toronto Allergy (Finch & Bayview)


NTA_Referral_Form_NYGH
.pdf
Download PDF • 54KB


Eating Disorders

Admit Criteria Eating Disorders Feb 2021
.
Download • 13KB

Kindercare Pediatrics

  • Eglinton Ave W & Avenue Rd

  • Specialty pediatrics clinics including: breastfeeding and lactation, circumcision, allergy, rheumatology, dermatology, etc...

  • Kindercare Pediatrics Referral Form


Kidcrew

  • Bathurst & St. Clair Ave W

  • Specialty pediatrics clinics including: Allergy, Audiology, Cardiology, Dermatology, Endocrinology, etc...


Physiotherapy


Criteria for OHIP covered Physiotherapy

  • Have OHIP number

  • Age > 65

  • On Ontario Works or ODSP

  • DC from hospital after an overnight admission

  • Resident of LTC age 18 or older

OHIP Funded Physio clinics
.docx
Download DOCX • 30KB


Private Physiotherapy Clinics

Private Physio clinics
.docx
Download DOCX • 30KB

Aethos Clinic (York Mills & Leslie)


Bayview Rehabilitation (Bayview & Cummer)


Canadian Active Rehab Centre (Lawrence & Victoria Park)

Carcrehab physio
.pdf
Download PDF • 287KB

Movement Sports Medicine & Physiotherapy (Centre & Bathurst)

Movement Sports Medicine + Physiotherapy Info
.pdf
Download PDF • 987KB

Plastics (Non Urgent Referrals)

NYGH Plastics NON urgent Referral Sheet
.pdf
Download PDF • 173KB

Podiatry


GTA Chiropody (mobile service goes to patient house)

GTA CHIROPODY Pt Handout
.pdf
Download PDF • 76KB

Sunnybrook Podiatry

SBK podiatry
.pdf
Download PDF • 147KB

Polyclinic Rehab Institute (Finch & Dufferin)

Podiatrist referral
.pdf
Download PDF • 568KB
Podiatrist Handout
.pdf
Download PDF • 4.29MB

Respirology

Dr. William Lee actively accepting general respirology consults except sleep issues. Followup approximately 2 weeks

Tel 416-494-7396

Fax 416-494-0129


Rheumatology

Fax generic referral to:


Dr. Wayne Potashner / Dr. Nathaniel Dostrovsky

Wycliffe House Medical Building @ Bathurst & Sheppard

Tel (416) 631-6090

Fax (416) 631-6535


Sports Medicine


Orthopedic Rehab Institute (York Mills & Don Mills)

ORI referral form
.pdf
Download PDF • 624KB

Temporal Arteritis (For Temporal Artery US)

Use generic referral form and fax to Dr. Abraham Chaiton @ Humber River Hospital Fax # 416-741-2454


Thoracic Surgery

Thoracic Surgery Collaborative Algorithm_April_2022
.docx
Download DOCX • 40KB
MGH Thoracics referral form Nov 2022
.pdf
Download PDF • 463KB

Tuberculosis

Refer stable suspected outpatient TB patients to West Park Health Care (Jane/Eglinton), they will not be seen in Baruch-Weisz Clinic. Please fax all relevant records and investigations along with referral form.


Urology

Urology Trial Void
.pdf
Download PDF • 784KB
Urology Home foley care
.pdf
Download PDF • 787KB

Vascular Surgery


Corhealth Guidelines

Acute Limb Ischemia Guide for ED Clinicians - FINAL V1 - June 2023
.pdf
Download PDF • 209KB
Acute Aortic Dissection Guide for ED Clinicians - FINAL V1 - June 2023
.pdf
Download PDF • 251KB
Ruptured Abdominal Aortic Aneurysm Guide for ED Clinicians - FINAL V1 - June 2023
.pdf
Download PDF • 203KB



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