If your patient needs immediate, urgent care, please send them to the emergency department
Download and complete the VTreferral form and fax referral form to theUrgent VT Acute Care Program attention Leora Wanounou at 416 340 5338 or call VT hotline 416 419 5672.
After 5:00 pm, please page the EP physician on-call through locating 416 340 3155.
To complete the standard referral process, first download and complete the
CCN Heart Rhythm Referral form as well as the Complex Ablation referral formComplex Ablation referral form.
Once you have completed the form:
Please ensure that the form is complete; all relevant clinical and patient safety information is needed in order to facilitate a timely booking
Our office will call the patient to inform them of their first appointment.
Our office is responsible for providing the patient with the appointment information, including time and location, and booking any pre-consultation tests and imaging required.
In addition to the completed referral forms, make sure to include: