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Clinic Subspecialty / Interest Location Form Contact Information Neuphysio PhysiatryRehabilitationPhysiotherapyToxin injectionEMG diagnosticsPain injectionsSpasticity management 1. 131 Wharncliffe Rd South, Suite ALondon, ON N6J 2K42. 235 North Centre Rd, Suite 304London, ON, N5X4E7 Generic Form 1. Phone: 519-434-3881Fax: [email protected]. Phone: 519-601-3788Fax:…
London London Resources Services Location Form Contact Information Adult London & Middlesex Mental Health Coordinated Intake (Age 18-64) 1. Urgent Psych Consultation Service2. General Adult Ambulatory MH Services3. Trauma Stress Service4. Addictions LHSC – Victoria HospitalSt Joseph’s Hospital New:There are…
Clinics Clinic Services Location Form Contact Information Hand and Upper Limb Clinic 1. Medical and Surgical Care for hands and upper limbs St. Joseph’s HospitalRoom D0-101268 Grosvenor StreetLondon, Ontario N6A 4V2 HULC Referral Form Phone: 519-646-6000 ext 64944Fax: 519-646-6049 Fax…
Clinic Services Location Form Contact Information OHIP Covered Physiotherapy Clinics 1. Physiotherapy Multiple Clinic List Age 0-18, OW, ODSP, 65+ Need to refer patient, and patient must book their own appointment Need eForms for your EMR system? EMR training? IT…
Fetal Risk Assessment from Maternal Exposure (FRAME) Program Location Form Contact Information Safety of Medications in Pregnancy and Breastfeeding clinic 800 Commissioners Rd ELondon, ON N6A 5W9 Any referral form worksFRAME Fax Referral FormGeneric Form Phone: 519-685-8500 ext 58293Fax: 519-685-8156Email:…
London Physicians Subspecialty / Interest Location Form Contact Information London Home Palliative Care (LHPC) Team Referral 1. Home based Palliative Care 395 Southdale Rd E, London ON N6E 1A2 LHPC Referral Form Phone: 519-472-2920Fax: 877-423-9739 Fax consult*Call if Urgent (<24hrs)…
Clinic Services Location Form Contact Information Pain Clinic – SJHC 1. Pain Management (Over 18 yo only) St. Joseph’s Healthcare Centre SJHC Pain Clinic Online ReferralSJHC Pain ClinicSJHC Pain Clinic Physician Agreement Phone: 519-646-6019Fax: 519-646-6292 Fax consultMust have Family MD…
