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.
Physicians | Subspecialty / Interest | Location | Form | Contact | Information |
---|---|---|---|---|---|
Dr. Wiebe, Amanda | Menopause Health (Certified Menopause Health Practitioner) | 551 Knights Hill Rd, Unit 3 London ON N6J 3A1 | Generic Form | Phone: 519-668-0491 Fax: 519-668-1942 | Fax consult |
Dr. Hamilton, Kirk | 1. Obstetrics (Practice Focused) 2. Newborn Circumcision 3. Infant Tongue Tie Release 4. Palliative Care | 510 Southdale Rd E, Unit 201 London, ON N6E 0B2 | LLRO ReferralHamilton Tongue Tie Referral | Phone: 519-472-2920 Fax: 1-877-423-9739 | Fax consult Website |
Dr. Valiulis, Aurelia | 1. Obstetrics (Practice Focused) 2. Palliative Care | 510 Southdale Rd E, Unit 201 London, ON N6E 0B2 | LLRO Referral | Phone: 519-472-2920 Fax: 1-877-423-9739 | Fax consult Website |
Dr. Hammond, Jo-Anne | 1. Obstetrics (Practice Focused) 2. Women’s Health 3. Circumcision 4. Vanderbos Procedure 5. Palliative care | 130 Thompson Road London, Ontario N5Z 2Y6 | Generic Form | Phone: 519-601-8621 Fax: 519-204-3122 | Fax consult |
Dr. Sheppard, Miranda | 1. Obstetrics (Practice Focused) 2. Women’s Health | 460 Spingbank Dr. Unit 304 London, ON N6J 0A8 | Generic Form | Phone: 519-963-3781 Fax: 519-963-3779 | Fax consult |
Dr. Smits, Cheryl | 1. Obstetrics (Practice Focused) 2. Women’s Health | 190 Wortley Rd Unit 208 London, ON N6C 4Y7 | Old South Maternity | Phone: 519-438-5101 Fax: 519-428-0369 | Fax consult |
Dr. Dales, Laurence | 1. Obstetrics 2. Women’s Health | 190 Wortley Rd Unit 208 London, ON N6C 4Y7 | Old South Maternity | Phone: 519-438-5101 Fax: 519-428-0369 | Fax consult |
Dr. Hacking, Paige | 1. Obstetrics 2. Women’s Health | 190 Wortley Rd Unit 208 London, ON N6C 4Y7 | Old South Maternity | Phone: 519-438-5101 Fax: 519-428-0369 | Fax consult |
Dr. Lyons, Laura | 1. Obstetrics (Practice Focused) 2. Women’s Health | St. Joseph’s Family Medical and Dental Centre 346 Platts Lane London ON N6G 1J1 | Generic Form | Phone: 519-646-6000 Ext. 67237 Fax: 519-672-7727 | Fax consult |
Dr. Thompson, Caitlin | 1. Obstetrics (Practice Focused) 2. Women’s Health | 140 Oxford St E Unit 300 London, ON N6A 5R9 | Generic Form | Phone: 519-850-3234 Fax: 519-850-3238 | Fax consult |
Dr. Rigby, Megan | 1. Obstetrics 2. Women’s Health | 140 Oxford St E Unit 300 London, ON N6A 5R9 | Generic Form | Phone: 519-850-3234 Fax: 519-850-3238 | Fax consult |
Dr. Hemphill, Andrew | 1. Obstetrics 2. Women’s Health | Byron Family Medical Centre 1228 Commissioners Rd. W. London, ON N6K 1C7 | Generic Form | Phone: 519-472-9670 Fax: 519-657-1766 | Fax consult |
Dr. Mawhinney, Leah | 1. Obstetrics 2. Women’s Health | 450 Central Ave Suite 108 London, ON N6B 2E8 | Generic Form | Phone: 519-672-3020 Fax: 519-672-6090 | Fax consult |
Dr. Arora, Nisha | 1. Obstetrics (Practice-Focused) 2. Women’s Health (Practice-Focused) | 450 Central Ave Suite 108 London, ON N6B 2E8 | Generic Form | Phone: 519-672-3020 Fax: 519-672-6090 | Fax consult |
Dr. Schaefer, Rachel | 1. Obstetrics 2. Women’s Health | 460 Spingbank Dr. Unit 314 London, ON N6J 0A8 | Generic Form | Phone: 519-672-8364 Fax: 519-672-0607 | Fax consult |
Dr. Henning, Beth | 1. Women’s Health (Practice Focused) | 450 Central Ave Suite 203, London ON, N6B 2E8 | Generic Form | Phone: 519-672-1421 Fax: 519-672-1426 | Fax consult |
Dr. Keren, Daniela | 1. Women’s Health 2. Obstetrics (Practice Focused) | Middlesex Centre Family Medicine Clinic 36 Heritage Dr Ilderton, ON N0M 2A0 | Generic Form | Phone: 519-666-1610 Fax: 519-666-0281 | Fax consult Will accept low-risk obstetrics referrals at any stage in the pregnancy |
Dr. Minocher Homji, Ruksheen | Menopause Management (menopause society certified practitioner) | 551 Knights Hill Rd Unit 3 London, ON N6J 3A1 | Generic Form | Phone: 519-668-0491 Fax: 519-668-1942 | Fax consult |
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