Patient Referral

Guide for Physicians Referring to the Thrombosis and Hemostasis Clinic

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Standard Referral

To complete the standard referral process:

1. Download and complete the Thrombosis and Hemostasis Clinic Referral Form.
2. Include the following documents:
   • Clinic notes including history and reason for referral
   • Recent bloodwork (MUST include CBC and hemoglobin electrophoresis results)
   • Ultrasound/CT/MRI results
3. Fax the completed form to 416 340 5682. Referrals for Dr. Erik Yeo should be faxed to 416 340 3799. 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 once an appointment is made. Please ensure that all patient contact information on the referral is recent and accurate.

It is extremely important your patient brings a list of medications that they are taking to 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 including history and reason for referral
• Recent bloodwork (MUST include CBC and hemoglobin electrophoresis results)
• Ultrasound/CT/MRI results

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