All referral forms on this website are also available as eForms for OSCAR, Avaros, Indivicare, and ACCURO EMRs. You can download some of the premade forms here from WorldEMR or fill the contact form below for any other eForms that are not listed for your EMR.
Table of Contents
London
SJHC Rheumatology Services:
| London | Subspecialty / Interest | Location | Form | Contact | Information |
|---|---|---|---|---|---|
| Dr. Appleton, Tom | 1. Rheumatology 2. Rheumatoid & Psoriatic Arthritis 3. Knee OA (including trials) *NOT Fibromyalgia* | St. Josephs Health Care London 268 Grosvenor Street | SJHC Rheumatology Referral | Phone: 519-646-6319 Fax: 519-646-6406 | SJHC Rheumatology Centre Fax consult – Include Investigations |
| Dr. Barra, Lillian | 1. Rheumatology 2. Vasculitic Syndromes | “ | “ | Phone: 519-646-5986 Fax: 519-646-6072 | “ |
| Dr. Basharat, Pari | 1. Rheumatology 2. Inflammatory Myositis | “ | “ | Phone: 519-646-6100 ext 66329 Fax: 519-646-6305 | “ |
| Dr. Boyd, Tristan | 1. Rheumatology 2. Rheumatoid Arthritis 3. Crystal-induced Arthritis 4. Psoriatic Arthritis 5. Ankylosing Spondylitis *NOT chronic pain or Fibromyalgia* | “ | “ | Phone: 519-646-6140 Fax: 519-646-6118 | “ |
| Dr. Pope, Janet | 1. Rheumatology 2. Rheumatoid Arthritis 3. Scleroderma & Lupus 4. Vasculitis 5. Carpal Tunnel Syndrome *NOT chronic pain or Fibromyalgia* | “ | “ | Phone: 519-646-6332 Fax: 519-646-6334 | “ |
| Dr. Rohekar, Gina | 1. Rheumatology | “ | “ | Phone: 519-646-6242 ext 1 Fax: 519-646-6348 | “ |
| Dr. Rohekar, Sherry | 1. Rheumatology 2. Ankylosing Spondylitis 3. Psoriatic Arthritis | “ | “ | Phone: 519-646-6242 ext 2 Fax: 519-646-6221 | “ |
| Dr. Jiang, Joanne (Zhuan) | 1. Rheumatology 2. Vasculitis 3. Systemic sarcoidosis 4. IgG4-related disease *No chronic pain, fatigue or fibromyalgia. | “ | “ | Phone: 519-646-6282 Fax: 519-646-6252 | “ |
| Dr. Chopra, Nikhil | 1. Rheumatology 2. Inflammatory Arthritis 3. Systemic Connective Tissue Diseases | 450 Central Ave, Suite 411 London, ON N6B 2E8 | Chopra Rheumatology | Phone: 519-435-0415 Fax: 519-435-1862 | Fax consult – Include Investigations |
| Dr. Gottheil, Stephanie | 1. Rheumatology 2. Rheumatoid Arthritis 3. Psoriatic Arthritis 4. Spondyloarthritis 5. Gout/CPPD 6. PMR/GCA 7. Osteoporosis | London Rheumatology 1055 Fanshawe Park Rd W Suite 305 London, ON N6G 5B4 | Generic Referral Form | Phone: 519-473-7812 Fax: 519-455-0500 | Fax consult – Include Investigations Website |
| Dr. Jegatheeswaran, Jehanya | 1. Rheumatology | London Rheumatology 1055 Fanshawe Park Rd W Suite 305 London, ON N6G 5B4 | Generic Referral Form | Phone: 519-473-7812 Fax: 519-455-0500 | Fax consult – Include Investigations Website |
| Dr. Haig, Sara | 1. Rheumatology | London Rheumatology 1055 Fanshawe Park Rd W Suite 305 London, ON N6G 5B4 | Generic Referral Form | Phone: 519-473-7812 Fax: 519-455-0500 | Fax consult – Include Investigations Website |
| Dr. Welch, Michelle | 1. Primary Care Rheumatology (gout, OA, fibromyalgia, arthritis) 2. Rapid Access Joint Injection clinic | Springbank Medical Centre 460 Springbank Dr, Suite 306 London, ON N6J 0A8 | MW Rheumatology form | Phone: 519-963-3781 Fax: 519-963-3779 | Fax consult – Include Investigations |
Arva
| Arva | Specialty / Interest | Location | Form | Contact | Information |
|---|---|---|---|---|---|
| Dr. Thompson, Andy | 1. Rheumatology | The Arva Clinic 14351 Medway Rd Arva, ON N0M 1C0 | Arva Rheumatology Referral | Phone: 519-434-5007 Fax: 519-672-5007 | Fax consult – Include Investigations |
| Dr. Leitch, Madison | “ | “ | “ | Phone: 519-679-4900 Fax: 519-679-4901 | “ |
| Dr. Gamble, Maeve | “ | “ | “ | Phone: 519-645-8555 Fax: 519-679-3531 | “ |
| Dr. Hewson, Carly | “ | “ | “ | Phone: 519-672-9063 Fax: 519-672-9439 | “ |
| Dr. Arnold, Michael | “ | “ | “ | Phone: 519-451-0408 Fax: 519-672-7474 | “ |
Pediatric Physicians
| Pediatrics | Specialty / Interest | Location | Form | Contact | Information |
|---|---|---|---|---|---|
| Dr. Berard, Roberta | 1. Pediatric Rheumatologist | Children’s Hospital London Health Sciences Centre | Generic Referral Form | Phone: 519-685-8379 Fax: 519-685-8156 | Fax Consult Website |
| Dr. Demirkaya, Erkan | “ | “ | “ | Phone: 519-685-8036 Fax: 519-685-8156 | “ |
| Dr. Ardelean, Daniela | “ | 1807 Wonderland Rd N London, ON N6G 5C2 | “ | Phone: 519-474-7007 Fax: 1-888-920-5251 | Fax Consult Speaks Romanian |
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