Guide for Physicians Referring to the Dental Oncology & Maxillofacial Prosthetics Clinic

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Urgent Referral

If your patient needs immediate, urgent care:

  1. Complete the referral form.
  2. Call Marijun Lopez-Sursona at 416 946 2198 for further information.

Please remember that patients must be truly urgent from a medical perspective for them to be seen.

You must make direct contact with the appropriate physician to complete an urgent referral.

Please note: Few patients qualify for urgent referrals and all referrals need to complete a dental referral form.

 

Standard Referral

To complete the standard referral process:

  1. Download and complete the Dental Oncology & Maxillofacial Prosthetics Clinic Referral Form [PDF, opens in new window].
  2. Include the following information:
    • Patient diagnosis/clinical notes
    • List of patient's medications
  3. Fax the completed form to 416 946 6576. Some physicians' offices will send you a confirmation of receipt. The form will be reviewed to ensure that it is complete; if incomplete, or if the form contains initials, acronyms or illegible writing, the form will be returned to you. On this page: Checklist for complete referral
  4. Our office will call you promptly once the referral form is reviewed for appropriateness for care at UHN. The unit coordinator will contact you with information about the patient's first appointment and in cases where care would best be sought in the community.  

 

Checklist for a Complete Referral  

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

  • A referral form, filled out in its entirety
  • Patient diagnosis/clinical notes
  • List of patient's medications
Last reviewed: 2/16/2021
Last modified: 2/17/2021 9:22 AM