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.
| Clinic | Location | Form | Contact | Informatoin |
|---|---|---|---|---|
| Allergy Clinic (Adult & Peds) Dr. Jeimy, Samira Dr. Kim, H. Dr. Kuprowski, M. Dr. Moote, D.W. | St. Joseph’s Healthcare Centre | Allergy Referral Form | Phone: 519-646-6019 Fax: 519-646-6292 | Website OTN appointments: Dr. Jeimy only – please specify OTN on referral form |
| Dr. Gill, Parwinder (Adult & Peds) | Advanced Medical Group 230 Victoria St London, ON L4Z 0B9 | Generic Referral Form | Phone: 519-873-1700 Fax: 519-873-1717 | Fax Consult |
| Dr. Belda, Antonio (Pediatrics) | Sunningdale Health & Wellness Centre 1695 Wonderland Rd. North London, ON N6G 4W3 | Generic Referral Form | Phone: 1-888-286-1067 Fax: 1-866-692-3463 | Fax Consult |
| Dr. Kloth, Debra (Adult & Peds) | 416 Central Ave London, ON N6B 2E5 | Dr. Kloth Referral | Phone: 519-675-1366 Fax: 519-675-0875 | Fax Consult |
| Dr. Borici-Mazi, Rozita | 101-140 Oxford St E London ON, N6A 5R9 | Dr. Borici-Mazi Referral “Oxford Allergy Clinic” | Phone: 548-866-0201 Fax: 844-230-6510 | Accepts via Ocean eReferral, or fax consult |
| Dr. Ndur, Joshua (Pediatrics) | 107 Edward St, Suite 103 St Thomas, ON N5P 1Y8 641 Commissioners Rd E, Unit 105 London, ON N6C 2T9 | Generic Referral Form | St.Thomas Phone: 519-631-8778 Fax: 519-631-0080 London Phone: 519-686-8585 Fax: 519-686-8580 | Fax Consult |
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Get all the London-area eForms for OSCAR, JUNO, Avaros, THT, Indivicare here
Contact [email protected] for any other eForm needs for OSCAR, JUNO, Avaros, THT, Indivicare, and Accuro EMRs.