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Patient Referral

​Urgent Referral

If your patient needs immediate, urgent care, please complete the Familial Breast and Ovarian Cancer Clinic Consult Request (including the urgent referral section) form.

 

Standard Referral

To complete the standard referral process:

  1. Download and complete the Familial Breast and Ovarian Cancer Clinic Consult Request form
  2. Fax the completed form to 416 946 6528. The form will be reviewed to ensure that it is complete; if incomplete, the form will be returned to you.
  3. Our office will fax you information about the patient's first appointment.

It is extremely important to ensure that your patient returns their completed family history questionnaire and personal medical history questionnaire to the clinic before their appointment or their appointment may be rescheduled.

 

Checklist for a Complete Referral

To ensure your referral is complete, make sure to include:

  • A referral form, filled out in its entirety
  • Information regarding the relevant family history
  • Genetic testing results if available

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

Last reviewed: 6/30/2015
Last modified: 1/2/2018 7:58 AM