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​​​​​​​​​​​Urgent Referral

If your patient needs urgent assessment, please do the following:

  • ​​You must make direct contact wi​th the appropriate physician to complete an urgent referral.​​​
Please note: All Hepato Cellular Carcinoma (HCC) referrals are processed by us as urgent. 

If you do not know which physician to refer your patient to, please call the assessment clinic administrative assistant at 416 340 4800 ext. 6521. You will be directed to the correct physician.

Standard Referral

To complete the standard referral process, first download and complete the Liver Transplant Assessment Clinic Referral Form.

Once you have completed the form, fax it to 416 340 4779 or directly to the physician. Some physician's offices will send you a confirmation of receipt.

The form will be reviewed to ensure that it is complete; if incomplete, the form will be returned to you. Please ensure the referral includes the referring physician's full name, complete mailing address, phone and fax numbers and billing number.

Our office will call you with information about the patient's first appointment.

Your office is responsible for providing the patient with the appointment information, including time and location, and important documents, test results and imaging that they must bring.

It is extremely important to ensure that your patient brings the following, as these will be required at their first appointment.

  • CD with current imaging
  • Health Card (OHIP Card)
  • List of current medications
  • Results of most recent blood work
  • Results of other pertinent investigations

Checklist for a Complete Referral

In addition to the completed referral form, make sure to include:

  • Biopsy results if available
  • Cardiac test results
  • Consult notes
  • Copies of all imaging reports
  • Copies of gastroscopy/colonoscopy reports
  • Respiratory function test results

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

More Referral Links


Go to the Liver Transplant Clinic