Musculoskeletal (MSK)

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.

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ClinicServicesLocationFormContactInformation
London X-Ray Associates1. MSK Pain Injections
2. Advanced MSK pain assessment
450 Central Ave, Suite 104
London, ON N6B 2E8
MSK Requisition LXAPhone: 519-672-5270
Fax: 519-672-2724
Fax consult
Website
SouthWest Musculoskeletal Rapid Access Clinic (SW MSK RAC)Surgical Consultation
Diagnosis
LHSC – UH
Woodstock General Hospital
Tillsonburg District Memorial
Grey Bruce Regional Health Service
St. Thomas Elgin General Hospital
Stratford General Hospital
Strathroy General Hospital
South West LHIN Request for Hip and Knee Ortho Consult FormX-RAY REPORTS WITHIN 6 MONTHS MUST ACCOMPANY REFERRAL. MRI is NOT recommended.
Knee: Bilateral knee standing AP & tunnel, lateral knee at 30°, skyline Hip: AP pelvis, AP and lateral hip

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