Guide for Physicians Referring to the Red Blood Cell Clinic
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Urgent Referral
If your patient needs immediate, urgent care:
- Download and complete the Red Blood Cell Clinic Referral Form (PDF).
- Indicate in the space provided that the referral is urgent.
- Fax the completed referral form to 416 340 4559.
Standard Referral
To complete the standard referral process:
- Download and complete the
Red Blood Cell Clinic Referral Form (PDF).
- Include the following documents:
- clinic notes
- recent bloodwork (MUST include CBC and hemoglobin electrophoresis results)
- diagnostic testing results (e.g., ferriscan, cardiac MRI)
- surgical procedure notes (if applicable)
- Fax the completed form to 416 340 4559. The form will be reviewed to ensure that it is complete; if incomplete, the form will be returned to you.
- The administrative team will call the patient directly to make an appointment. Please ensure that all patient contact information is recent and accurate.
Note: It is extremely important that your patient brings a list of medications that they are taking. These medications will be required at their first appointment.
Checklist for a Complete Referral
To ensure your referral is complete, make sure to include:
- A referral form, filled out in its entirety
- Clinic notes
- Recent bloodwork (MUST include CBC and hemoglobin electrophoresis results)
- Diagnostic testing results (e.g., ferriscan, cardiac MRI)
- Surgical procedure notes (if applicable)
If this information is not included with the referral form, your referral will be returned as incomplete.
