​Guide for Physicians Referring to the Red Blood Cell Clinic​

​​Urgent Referral

If your patient needs immediate, urgent care:

1
Download and complete the Red Blood Cell Clinic Referral Form (PDF).
2
Indicate in the space provided that the referral is urgent.
3
Fax the completed referral form to 416 340 4559.
Referral Forms

​Standard Referral

To complete the standard referral process:

1
Download and complete the Red Blood Cell Clinic Referral Form (PDF).
2
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)
3
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.
4
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.

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
  • 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 may be returned as incomplete.


Go to the Red Blood Cell 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: 6/30/2015
Last modified: 11/2/2023 5:46 AM
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