Endocrinology

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.

Clinics

Clinic	Services	Location	Form	Contact	Information
SJHC Centre for Endocrinology, Diabetes & Metabolism	1. Endocrinology 2. Diabetes 3. Metabolic Diseases 4. Pregnancy & Endocrinology Disorders	St. Joseph’s Healthcare Centre Room B5-502	SJHC Endocrinology & Diabetes Referral	Phone: 519-646-6100 ext. 66349 Fax: Individual Physicians	Fax consult Website
SJHC Osteoporosis Clinic	1. Osteoporosis Management	St. Joseph’s Healthcare Centre Room B4-084	SJHC Osteoporosis Referral	Phone: 519 646-6100 ext. 64434 Fax: 519 646-6183	Fax consult Website
SJHC Diabetes Education Centre	1. Diabetes Eduction	St. Joseph’s Healthcare Centre Room B5-602	SJHC Diabetes Education Referral	Phone: 519 661-1600 Fax: 519 661-1634	Fax consult Website
SJHC Primary Care Diabetes Support Program	1. T2 Diabetes Eduction & Management Will take patients without a family doctor	St. Joseph’s Family Medical and Dental Centre 346 Platts Lane London, ON N6G 1J1	Referral form for only Diabetes Referral form for Diabetes & Wound Care	Phone: 519-646-6000 ext. 67268 Fax: 519-645-6961	Fax consult Website
London Diabetes Foot Clinic (Dr. Bill Thompson)	1. Diabetic Feet Management	310 Wellington Road London ON N6C4P4	London Diabetes Foot Clinic	Phone: 519-663-3849 Fax: 519-432-6266	Fax consult
Exeter Diabetes Education	1. Diabetes Education	South Huron Hospital (Exeter)	Self Referral Exeter Diabetes Education Referral	Phone: 519-235-5175 Fax: 519-235-2945	Self Refer OR MD Referral Website
Ingersoll Diabetes Education	1. Diabetes Education	Alexandra Hospital (Ingersoll)	Self Referral	Phone: 519-485-1700 ext 8249	Self Refer Website
St. Thomas – Elgin Diabetes Education	1. Diabetes Education	St Thomas Elgin General Hospital	Self Referral	Phone: 519-631-2030 Ext. 2408	Self Refer Website
Strathroy Diabetes Education	1. Diabetes Education	Strathroy Middlesex General Hospital	Self Referral	Phone: 519-246-5902 [email protected]	Self Refer Website
Huron Perth Health Alliance (Stratford, St. Mary’s, Seaforth, Clinton) Diabetes Education	1. Diabetes Education	Stratford General Hospital St. Mary’s Memorial Hospital Seaforth Community Hospital	Self Referral HPHA Diabetes Education Referral	Phone: 519 272-8210 ext. 2365 Fax: 519-272-8188	Self Refer or MD Referral Website
Goderich Diabetes Education	1. Diabetes Education	Alexandra Marine and General Hospital	Self Referral Goderich (AMGH) Diabetes Education Referral	Phone: 519-524-8689 ext. 5612 Fax: 519-524-8527	MD or Self Refer Website

London Physicians

London Physicians	Subspecialty/Interest	Location	Form	Contact	Information
Dr. Barrett, Catherine	1. Endocrinology	Active Care Medical Centre 1807 Wonderland Road North Suite 201 London, ON N6G 5C2	Barrett Endocrinology Referral	Phone: 519-433-4330 Fax: 519-433-4332	Fax consult
Dr. Berberich, Amanda	1. Endocrinology	St. Joseph’s Healthcare Centre	SJHC Endocrinology & Diabetes Referral	Phone: 519-646-6245 Fax: 519-646-6067	Fax consult Website
Dr. Brennan, Emily	1. Endocrinology 2. Thyroid Disorders 3. Lipid Disorders 4. Diabetes 5. Transgender care 6. Reproductive Endocrinology 7. Obesity	London Centre for Endocrinology & Bone Health 140 Oxford St. East, Suite 410 London, ON N6A 5R9	London Centre for Endocrinology & Bone Health Referral	Phone: 226-680-0802 Fax: 226-680-0800 Email: [email protected]	Fax consult Website
Dr. Clemens, Kristin	1. Endocrinology 2. Diabetes	St. Joseph’s Healthcare Centre	SJHC Endocrinology & Diabetes Referral	Phone: 519-646-6316 Fax: 519-646-6212	Fax consult Website
Dr. Creider, Julia	1. Endocrinology	Oxford Health Centre 140 Oxford St E, Suite 300 London, ON N6A 5R9	Generic Form	Phone: 519-850-3234 Fax: 519-850-3238	Fax consult
Dr. Fraser, Lisa-Ann	1. Endocrinology 2. Bone & Calcium Disorders	London Centre for Endocrinology & Bone Health 140 Oxford St. East, Suite 410 London, ON N6A 5R9	London Centre for Endocrinology & Bone Health Referral	Phone: 226-680-0802 Fax: 226-680-0800 Email: [email protected]	Fax consult Website
Dr. Hegele, Robert	1. Endocrinology 2. Lipid Disorders	LHSC – University Hospital	SJHC Endocrinology & Diabetes Referral	Phone: 519-931-5774 Fax: 519-931-5218	Fax consult Website Website
Dr. Joy, Tisha	1. Endocrinology 2. T2 Diabetes 3. Lipid Disorders	St. Joseph’s Healthcare Centre	SJHC Endocrinology & Diabetes Referral	Phone: 519-646-6296 Fax: 519-646-6392	Fax consult Website Website
Dr. Khan, Tayyab	1. Endocrinology 2. Diabetes 3. Pituitary Disorders 4. Thyroid Disorders 5. Calcium Disorders	St. Joseph’s Healthcare Centre	SJHC Endocrinology & Diabetes Referral	Phone: 519-646-6241 Fax: 519-646-6248	Fax consult Speaks Urdu Website
Dr. Liu, Selina	1. Endocrinology 2. Diabetes	St. Joseph’s Healthcare Centre	SJHC Endocrinology & Diabetes Referral	Phone: 519-646-6370 Fax: 519-646-6109	Fax consult Website
Dr. Mahon, Jeff	1. Endocrinology 2. Diabetes	St. Joseph’s Healthcare Centre	SJHC Endocrinology & Diabetes Referral	Phone: 519-646-6335 Fax: 519-646-6331	Fax consult Website
Dr. McDonald, Charlotte	1. Endocrinology 2. Diabetes 3. Thyroid Disorders	St. Joseph’s Healthcare Centre	SJHC Endocrinology & Diabetes Referral	Phone: 519-646-6170 Fax: 519-646-6058	Fax consult Website
Dr. McManus, Ruth	1. Endocrinology 2. Diabetes 3. Endocrinology & Pregnancy NOT Thyroid Nodules OR Osteoporosis	St. Joseph’s Healthcare Centre	SJHC Endocrinology & Diabetes Referral	Phone: 519-646-6371 Fax: 519-646-6372	Fax consult Website
Dr. Morrison, Deric	1. Endocrinology 2. Thyroid Disorders & Cancer 3. Diabetes	St. Joseph’s Healthcare Centre	SJHC Endocrinology & Diabetes Referral	Phone: 519-646-6296 Fax: 519-646-6392	Fax consult Website
Dr. Paul, Partha	1. Endocrinology 2. Diabetes 3. Thyroid Disorders	215 Fanshawe Park Rd W, 2nd Fl London, ON N6G 5A9	Generic Form	Phone: 519-645-2444 ext 6 Fax: 519-645-2545	Fax consult
Dr. Spaic, Tamara	1. Endocrinology 2. Diabetes	St. Joseph’s Healthcare Centre	SJHC Endocrinology & Diabetes Referral	Phone: 519-646-6370 Fax: 519-646-6109	Fax consult Speaks Bosnian, Croatian, Serbian, & Yugoslav Website
Dr. Singarayer, Ranjit	1. General Endocrinology 2. Transgender medicine	London Centre for Endocrinology & Bone Health 140 Oxford St. East, Suite 400 London, ON N6A 5R9	London Centre for Endocrinology & Bone Health Referral	Phone: 226-680-0802 Fax: 226-680-0800 Email: [email protected]	Fax consult Website
Dr. Van Uum, Stan	1. Pituitary Disorders 2. Adrenal Disorders 3. Gonadal Disorders 4. Thyroid Cancer	St. Joseph’s Healthcare Centre	SJHC Endocrinology & Diabetes Referral	Phone: 519-646-6170 Fax: 519-646-6058	Fax consult Speaks Dutch & German Website
Dr. Wojcik, John	1. Endocrinology	450 Central Ave, Suite 207 London, ON N6B 2E8	Generic Form	Phone: 519-435-0063 Fax: 519-435-0184	Fax consult

St. Thomas Physicians

St. Thomas Physicians	Subspecialty/Interest	Location	Form	Contact	Information
Dr. Ziada, Ahmed	1. Endocrinology	120 Wellington St St Thomas, ON N5R 2R4	Generic Form	Phone: 519-633-9200 Fax: 519-633-2391	Fax consult Speaks Arabic

Stratford Physicians

Stratford Physicians	Subspecialty/Interest	Location	Form	Contact	Information
Dr. Caines, Angela	1. Internal Medicine 2. Diabetes in Pregnancy	444 Douro St, Suite 107 Stratford, ON N5A 0E6	Generic Form	Phone: 519-273-0100 Fax: 519-273-0675	Fax consult
Dr. MacNaughton, Janis	1. Internal Medicine 2. T1DM & Pumps 3. Diabetes in Pregnancy	Stratford General Hospital	Generic Form	Phone: 519-271-2120 Fax: 519-273-6832	Fax consult Speaks French
Dr. Peirce, Michael	1. Internal Medicine 2. Diabetes in Pregnancy	444 Douro St, Suite 107 Stratford, ON N5A 0E6	Generic Form	Phone: 519-273-0100 Fax: 519-273-0675	Fax consult

Exeter, Grand Bend and Goderich Physicians

Exeter, Grand Bend and Goderich Physicians	Subspecialty/Interest	Location	Form	Contact	Information
Dr. McLean, Nicola	1. Endocrinology	South Huron Hospital (Exeter) Grand Bend Area Community Health Centre 69 Main Street East Grand Bend, ON N0M 1T0 Alexandra Marine and General Hospital	Generic Form	Phone: SHHA 519-225-2035 Grand Bend 519-238-2362 Alexandra Hospital 519-524-8323 x 5208 Fax: SHHA 519-225-2700 Grand Bend 519-238-6478 Alexandra Hospital 519-524-8527	Fax consult

Pediatric Physicians

Pediatric Physicians	Subspecialty/Interest	Location	Form	Contact	Information
Dr. Clarson, Cheril	1. Pediatric Endocrinology	Children’s Hospital London Health Sciences Centre	Generic Form	Phone: 519-685-8138 Fax: 519-685-8105	Fax consult
Dr. Stein, Robert	1. Pediatric Endocrinology	Children’s Hospital London Health Sciences Centre	Generic Form	Phone: 519-685-8139 Fax: 519-685-8105	Fax consult Speaks French
Dr. Sottosanti, Maria	1. Pediatrics 2. Pediatric Endocrinology	510 Southdale Road East Suite 301 London ON N6E 0B2	Generic Form	Phone: 519-690-2806 ext 5 Fax: 519-690-0970	Fax consult

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