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Dalglish Family 22q Clinic - Referrals

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​​​​​​​​Urgent Referral

If your patient needs immediate, urgent care, you must make direct contact with the appropriate physician to complete an urgent referral.

If you do not know which physician to refer your patient to, please call our clinic at 416 340 5145. Our patient flow coordinator will direct you to the correct physician.  


Standard Refe​rral

To complete the standard referral process, first download and complete the PDF Icon ImageDalglish Family 22q Clinic Referral Form.

Once you have completed the form, fax it to our clinic at 416 340 5004.

Our office will call you with information about the patient's first appointment. Our office is responsible for providing the patient with the appointment information, including time and location, and important documents, test results and imaging that they must bring.


Checklist for a Complete Referral​

In addition to the completed referral form, make sure to include:​

  • FISH and/or microarray testing for 22q11.2DS

If this informatio​n is not included with the referral form, your referral may be returned as incomplete.


More Referral Links

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Go to the ​Dalglish Family 22q Clinic