Gastroenterology & Hepatology

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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Clinics

ClinicsSubspecialty / InterestLocationFormContactInformation
Urgent GI Clinic (VH Only)1. GastroenterologyLHSC – Victoria HospitalVH Outpatient ReferralPhone: 519-667-6582
Fax: 519-667-6820
Fax consult
Strathroy Endoscopy1. Colonoscopy
2. Gastroscopy
Strathroy Middlesex General HospitalStrathroy Endoscopy ReferralFax:
Elgamal 519-245-8305
Jain 519-246-6319
Fax consult

London

LondonSubspecialty / InterestLocationFormContactInformation
Dr. Beaton, Melanie1. Gastroenterology
2. Hepatology
LHSC – University HospitalGeneric FormPhone: 519-663-3344
Fax: 519-663-3220
Fax consult
Dr. Adams, Paul1. Gastroenterology
2. Hepatology
3.Genetic Hemochromatosis
4. Liver Transplant
LHSC – University HospitalGeneric FormPhone: 519-685-8500 ext 35375
Fax: 519-663-3549
Fax consult
Dr. Jairath, Vipul1. Gastroenterology
2. IBD
3. Endoscopy
LHSC – University HospitalGeneric FormPhone: 519-663-3655
Fax: 519-663-3658
Fax consult
Dr. Khanna, Reena1. Gastroenterology
2. IBD
LHSC – University HospitalGeneric FormPhone: 519-685-8500 ext 34945
Fax: 519-663-3700
Fax consult
Dr. Marotta, Paul1. Hepatology
2. Liver Transplant
3. Liver Cancer
LHSC – University HospitalGeneric FormPhone: 519-663-3406
Fax: 519-663-3858
Fax consult
Dr. Qumosani, Karim1. Gastroenterology
2. Hepatology
3. Liver Transplant
LHSC – University HospitalGeneric FormPhone: 519-663-3976
Fax: 519-663-2907
Fax consult
Speaks Arabic
Dr. Gregor, James1. Gastroenterology
2. IBD
LHSC – Victoria HospitalGeneric FormPhone: 519-667-6582
Fax: 519-667-6820
Fax consult
Dr. Asfaha, Samuel1. Gastroenterology
2. Colorectal Cancer
LHSC – Victoria HospitalGeneric FormPhone: 519-685-8500 ext 76582
Fax: 519-667-6820
Fax consult
Dr. Chande, Nilesh1. Gastroenterology
2. IBD
LHSC – Victoria HospitalGeneric FormPhone: 519-667-6582
Fax: 519-690-0492
Fax consult
Dr. Ponich, Terry1. Gastroenterology
2. IBD
3. ERCP
4. Pancreatic & Biliary Disease
LHSC – Victoria HospitalGeneric FormPhone: 519-667-6852
Fax: 519-667-6820
Fax consult
Dr. Sandhu, Amindeep1. GastroenterologyLHSC – Victoria HospitalGeneric FormPhone: 519-667-6582
Fax: 519-667-6820
Fax consult
Dr. Sey, Michael1. Gastroenterology
2. Colonoscopy
3. Small Bowel Endoscopy
4. Advanced Endoscopy Procedures
5. Capsule Endoscopy
LHSC – Victoria HospitalGeneric FormPhone: 519-667-6582
Fax: 519-667-6820
Fax consult
Dr. Wilson, Aze1. Gastroenterology
2. IBD
3. Celiac Disease
LHSC – Victoria HospitalGeneric FormPhone: 519-663-3832
Fax: 519-663-3220
Fax consult
Dr. Yan, Brian1. Gastroenterology
2. IBD
3. Endoscopic Ultrasound
4. Advanced Endoscopy
LHSC – Victoria HospitalGeneric FormPhone: 519-667-6582
Fax: 519-667-6820
Fax consult
Dr. Hussain, Nadeem1. Gastroenterology
2. Endoscopic Ultrasound
3. Advanced Endoscopy
St. Joseph Healthcare CentreGeneric FormPhone: 519-646-6100 ext 64312
Fax: 519-646-6130
Fax consult
Dr. Khanna, Nitin1. Gastroenterology
2. ERCP
3. Advanced Endoscopy
St. Joseph Healthcare CentreGeneric FormPhone: 519-646-6125
Fax: 519-646-6130
Fax consult
Dr. McIntosh, Keith1. Gastroenterology
2. Esophageal Disease
St. Joseph Healthcare CentreGeneric FormPhone: 519-646-6100 ext 61312
Fax: 519-646-6130
Fax consult
Dr. Rahman, Adam1. Gastroenterology
2. TPN & Feeding Tubes
3. Dysmotility Syndromes
4. Celiac Disease
St. Joseph Healthcare CentreGeneric FormPhone: 519-646-6000 ext 64320
Fax: 519-646-6130
Fax consult
Dr. Townsend, Cassandra1. Gastroenterology
2. IBD
LHSC – Victoria HospitalGeneric FormPhone: 519-667-6582
Fax: 519-667-6820
Fax consult

Southwestern Ontario

Southwestern OntarioSubspecialty / InterestLocationFormContactInformation
Dr. Thomas, Benson1. Gastroenterology
2. Hepatology
3. Liver Transplant
St. Thomas Elgin General HospitalGeneric FormPhone: 519-631-2030
Fax: 519-631-6143
Fax consult
Dr. Jawaid, Noor1. Gastroenterology
2. Hepatology
Woodstock General HospitalGeneric FormPhone: 519-539-7844
Fax: 519-290-3320
Fax consult

Pediatric

PediatricSubspecialty / InterestLocationFormContactInformation
Dr. Ashok, Dhandapani1. Pediatric Gastroenterology
2. IBD
3. Hepatology
Children’s Hospital London Health Sciences CentreGeneric FormPhone: 519-685-8792
Fax: 519-685-8105
Fax Consult
Website
Dr. Bax, Kevin1. Pediatric GastroenterologyChildren’s Hospital London Health Sciences CentreGeneric FormPhone: 519-685-8177
Fax: 519-685-8105
Fax Consult
Website
Dr. Zizzo, Andreanne1. Pediatric Gastroenterology
2. Hepatology
Children’s Hospital London Health Sciences CentreGeneric FormPhone: 519-685-8177
Fax: 519-685-8105
Fax Consult
Website
Dr. Atkison, Paul1. Pediatric Gastroenterology
2. Pediatric Liver Transplant
Children’s Hospital London Health Sciences CentreGeneric FormPhone: 519-685-8354
Fax: 519-685-8105
Fax Consult
Website
Dr. Crowley, Eileen1. Pediatric Gastroenterology
2. IBD
Children’s Hospital London Health Sciences CentreGeneric FormPhone: 519-685-8354
Fax: 519-685-8105
Fax Consult
Website
Dr. Woolfson, Jessica1. Pediatric Gastroenterology
2. Nutrition
Children’s Hospital London Health Sciences CentreGeneric FormPhone: 519-685-8354
Fax: 519-685-8105
Fax Consult
Website

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