​Guide for Physicians Referring to the Melanoma Clinic

Standard Referral

To complete the standard referral process:

1
Download and complete the referral form.
2
Include the following documents:
  • Referral letter/consult note
  • Pathology reports
  • Surgical procedure notes
  • Diagnostic imaging reports
  • Clinical notes
3
Fax the completed form to the fax number provided on the referral form.
4
The form will be reviewed to ensure that it is complete; if incomplete, the form will be returned to you.
5
Our office will call you with information about the patient's first appointment.
6
Your office is responsible for providing the patient with the appointment information. This includes time and location, and important documents, test results and imaging that they must bring.
Referral Forms

​​​​​​Checklist for a Complete Referral

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

  • A referral form, filled out in its entirety
  • Referral letter/Consult note
  • Pathology reports
  • Surgical procedure notes
  • Diagnostic imaging reports
  • Clinical notes

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


Go to the Melanoma Clinic ​
https://www.uhn.ca/PrincessMargaret/Health_Professionals/Patient_Referral/Pages/dr_referral_psychosocial_oncology.aspx
https://www.uhn.ca/PrincessMargaret/Education/Continuing_Education_Programs/Pages/continuing_education_programs.aspx
Last reviewed: 3/24/2021
Last modified: 11/2/2023 9:13 AM
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