General Surgery

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General Clinic Forms
London Physicians
St. Thomas Physicians
Stratford Physicians
Strathroy Physicians
Woodstock Physicians
Goderich Physicians
Tillsonburg Physicians
Hanover, Walkerton, Listowell Physicians
Pediatric Physicians

General Forms

Services

Location

Form

Contact

Information

Colonoscopy – Gen Surg1. ColonoscopyLHSC – University Hospital

LHSC – Victoria Hospital

Gen Surg Colonoscopy ReferralFax: 519-667-6764 Fax consult
Inguina/Umbilical Hernia & Gallbladder Surgery1. Inguinal Hernia Repair
2. Umbilical Hernia Repair
3. Gallbladder Disease
LHSC – University Hospital

LHSC – Victoria Hospital

Gen Surg Hernia & Gallbladder ReferralFax: 519-685-8273 Fax consult
Colorectal Cancer Diagnostic Referral1. CCO Colorectal Cancer Referral

CCO SWLHIN Colorectal ReferralPhone: 519-685-8500 Ext.56928

Fax: 519-432-0271

Fax consult
Rectal Cancer Diagnostic Referral1. CCO Rectal Cancer Referral

CCO SWLHIN Rectal ReferralPhone: 519-685-8500 Ext.53232

Fax: 519-432-1805

Fax consult
Hepato/Pancreatic/Biliary (HPB) Cancer Diagnostic Referral1. CCO Hepato/Pancreatic/Biliary Cancer Referral

CCO SWLHIN HPB ReferralPhone: 519-685-8500 Ext.36742

Fax: 519-663-3047

Fax consult
Strathroy Endoscopy – Gen Surg1. Colonoscopy
2. Gastroscopy
Strathroy Middlesex General Hospital Strathroy Endoscopy ReferralFax:
Elgamal 519-245-8305

Jain 519-246-6319

Buma 519-246-5919

Fax consult

London Physicians

Subspecialty / Interest

Location

Form

Contact

Information

Dr. Alkhamesi, Nawar 1. General Surgery
2. Colorectal Surgery
LHSC – University Hospital Generic FormPhone: 519-663-3985
Fax: 519-663-3052
Fax consult
Dr. Brackstone, Muriel 1. General Surgery
2. Colorectal Cancer Surgery
3. Breast Cancer Surgery
4. Gallbladder Surgery
5. Hernia Repair
London Health Sciences Centre – London Regional Cancer Program Generic FormPhone: 519-685-8712
Fax: 519-685-8744
Fax consult
Speaks French
Dr. Colquhoun, Patrick 1. General Surgery
2. Colorectal Surgery Focus: Cancer, IBD, Ano-rectal pathology
3. Breast Cancer Surgery
4. Gallbladder Surgery
5. Hernia Repair
6. Colonoscopy
LHSC – University Hospital Generic FormPhone: 519-663-3287
Fax: 519-663-3906
Fax consult
Dr. Davies, Edward 1. General Surgery
2. Hepatobiliary and Pancreatic Surgeon
3. Breast Cancer Surgery
LHSC – University Hospital Generic FormPhone: 519-663-3458
Fax: 519-663-3906
Fax consult
Dr. Elnahas, Ahmad 1. General Surgery
2. Minimally Invasive Surgery
LHSC – University Hospital Generic FormPhone: 519-663-3612
Fax: 519-663-3213
Fax consult
Speaks Arabic
Dr. Gray, Daryl 1. General Surgery
2. Endocrine (Thyroid, Pancreas, Adrenal Glands)
3. Colorectal Surgery
4. Colonoscopy
LHSC – Victoria Hospital Generic FormPhone: 519-667-6583
Fax: 519-667-6546
Fax consult
Dr. Hawel, Jeffrey 1. General Surgery
2. Advanced laproscopic Surgery
3. Advanced Endoscopy & ERCP
LHSC – University Hospital Generic FormPhone: 519-663-2963
Fax: 519-663-3569
Fax consult
Dr. Latosinsky, Steven 1. Colorectal Cancer Surgery
2. Breast Cancer Surgery
3. Melanoma Excision
4. Surgical Oncology
London Health Sciences Centre – London Regional Cancer Program Generic FormPhone: 519-685-8740
Fax: 519-685-8744
Fax consult
Dr. Leeper, Rob 1. General Surgery
2. Complex Abdominal Wall Reconstruction
LHSC – Victoria Hospital Generic FormPhone: 519-685-8547
Fax: 519-685-8775
Fax consult
Dr. Leslie, Kenneth 1. General Surgery
2. Hepatobiliary and Pancreatic Surgery
3. Colonoscopy
4. ERCP
LHSC – Victoria Hospital Generic FormPhone: 519-667-6778
Fax: 519-667-6764
Fax consult
Dr. McAlister, Vivian 1. General Surgery
2. Hepatobiliary and Pancreatic Surgery & Transplant Surgery
3. ERCP
LHSC – University Hospital Generic FormPhone: 519-663-2920
Fax: 1-855-538-2926
Fax consult
Dr. Ott, Michael 1. General Surgery
2. Colorectal Surgery
LHSC – Victoria Hospital Generic FormPhone: 519-685-8260
Fax: 519-685-8378
Fax consult
Dr. Parry, Neil 1. General Surgery
2. Complex Abdominal Wall Reconstruction
3. Colonoscopy
LHSC – Victoria Hospital Generic FormPhone: 519-667-6583
Fax: 519-667-6546
Fax consult
Dr. Quan, Douglas 1. General Surgery
2. Hepatobiliary and Pancreatic Surgery & Transplant Surgery
LHSC – University Hospital Generic FormPhone: 519-663-3355
Fax: 519-663-3906
Fax consult
Dr. Rajgopal, Chellappa 1. General Surgery
2. Laproscopic Surgery
3. Therapeutic Endoscopy – ERCP
4. Breast Surgery
LHSC – University Hospital Generic FormPhone: 519-663-3970
Fax: 519-663-3459
Fax consult
Speaks: Hindi, Tamil, Telugu
Dr. Saettler, Elizabeth 1. General Surgery Oncology
2. Breast Cancer Surgery
3. Melanoma & Non-Melanoma Skin Cancer Excision
London Health Sciences Centre – London Regional Cancer Program Generic FormPhone: 519-685-8500 ext 53658
Fax: 519-685-8744
Fax consult
Dr. Schlachta, Christopher 1. General Surgery
2. Advanced Laparoscopic and Robotic Surgery
3. Colorectal Surgery
LHSC – University Hospital Generic FormPhone: 519-663-3478
Fax: 519-663-3481
Fax consult
Dr. Skaro, Anton 1. General Surgery
2. Hepatopancreatobiliary Surgery,
3. Transplant Surgery
LHSC – University Hospital Generic FormPhone: 519-685-8500 Ext. 32904
Fax: 519-663-3858
Fax consult
Dr. Van Koughnett, Julie 1. General Surgery
2. Colorectal Surgery
3. Colonoscopy
LHSC – University Hospital Generic FormPhone: 519-663-3312
Fax: 519-663-3312
Fax consult
Dr. Vinden, Christopher 1. General Surgery
2. Colonoscopy
3. Hernia Repair
LHSC – Victoria Hospital Generic FormPhone: 519-685-8407
Fax: 519-685-8408
Fax consult
Dr. Denton, Douglas 1. General SurgeryMedpoint Health Care Centre – Citi Plaza
355 Wellington St, Suite 233
London, ON
N6A 3N7
Medpoint ReferralPhone: 519-432-1919
Fax: 519-432-9529
Fax consult
Dr. Oung, Myint 1. General SurgeryMedpoint Health Care Centre – Citi Plaza
355 Wellington St, Suite 233
London, ON
N6A 3N7
Medpoint ReferralPhone: 519-432-1919
Fax: 519-432-9529
Fax consult

St. Thomas Physicians

Subspecialty / Interest

Location

Form

Contact

Information

Dr. Armstrong, Jeffrey 1. General Surgery236 Elm St
St Thomas, ON
N5R 1J5
Generic FormPhone: 519-631-0567
Fax: 519-631-0921
Fax consult
Dr. Black, Robert 1. General Surgery236 Elm St
St Thomas, ON
N5R 1J5
Generic FormPhone: 519-631-0567
Fax: 519-631-0921
Fax consult
Dr. Bottoni, David 1. General Surgery236 Elm St
St Thomas, ON
N5R 1J5
Generic FormPhone: 519-631-0567
Fax: 519-631-0921
Fax consult
Dr. Collins, Paul 1. General Surgery236 Elm St
St Thomas, ON
N5R 1J5
Generic FormPhone: 519-631-0567
Fax: 519-631-0921
Fax consult
Dr. Zhuruk, Alexandr 1. General Surgery
2. Minimally Invasive Surgery
236 Elm St
St Thomas, ON
N5R 1J5
Generic FormPhone: 519-631-0567
Fax: 519-631-0921
Fax consult
Speaks Russian & Ukrainian

Stratford Physicians

Subspecialty / Interest

Location

Form

Contact

Information

Dr. Dilabio, Tony 1. General SurgeryStratford General Hospital Generic FormPhone: 519-273-4100
Fax: 519-273-3208
Fax consult
Website
Dr. Lefebvre, Kevin 1. General SurgeryStratford General Hospital Generic FormPhone: 519-273-4100 ext 5
Fax: 519-273-3208
Fax consult
Website
Dr. Maruscak, Adam 1. General SurgeryStratford General Hospital Generic FormPhone: 519-273-4100 ext 3
Fax: 519-273-3208
Fax consult
Website
Dr. McCune, Marcie 1. General SurgeryStratford General Hospital Generic FormPhone: 519-273-4100 ext 4
Fax: 519-273-3208
Fax consult
Website
Dr. McWilliam, Morgan 1. General SurgeryStratford General Hospital Generic FormPhone: 519-273-4100
Fax: 519-273-3208
Fax consult
Website
Dr. O’Neill, Craig 1. General SurgeryStratford General Hospital Generic FormPhone: 519-273-4100 ext 6
Fax: 519-273-3208
Fax consult
Website

Strathroy Physicians

Subspecialty / Interest

Location

Form

Contact

Information

Dr. Elgamal, Akram 1. General Surgery
2. Colorectal Surgery
Strathroy Middlesex General Hospital

Bradley Medical Centre
595 Bradley Ave
London, ON
N6E 3Z8

Generic Form

Strathroy Endoscopy Referral

Phone: Strathroy 519-245-8392
BradleyOffice: 519-685-7229


Fax: Strathroy 519-245-8305
Bradley Office: 519-685-3085
Fax consult
Dr. Jain, Vipan 1. General SurgeryStrathroy Middlesex General Hospital Generic Form

Strathroy Endoscopy Referral

Phone: 519-246-6321
Fax: 519-246-6319
Fax consult
Dr. Rajagopalan, Aarthi 1. General Surgery
2. Endoscopy
310 Wellington Rd
London, ON
N6C 4P4
Strathroy Middlesex General Hospital
Generic FormPhone: 519-433-4700
Fax: 519-433-4702
Fax consult
Speaks Hindi & Tamil

Woodstock Physicians

Subspecialty / Interest

Location

Form

Contact

Information

Dr. El-Salviti, Gamal 1. General Surgery510 Ingersoll Ave, Suite 102
Woodstock, ON
N4S 4X9
Generic FormPhone: 519-421-1996
Fax: 519-421-3334
Fax consult
Speaks Arabic
Dr. Humphrey, Robert 1. General Surgery333 Athlone Ave, Suite 106
Woodstock, ON
N4V 0B8
Generic FormPhone: 519-539-6622
Fax: 519-539-7954
Fax consult
Dr. MacLeod, Malcolm 1. General Surgery
2. Newborn Circumcisions (24-48hr old)
600 Princess St, Suite 300
Woodstock, ON
N4S 4H4
Generic FormPhone: 519-539-4866
Fax: 519-539-4867
Fax consult
Speaks French
Dr. Swart, Maritza 1. General Surgery
2. Newborn Circumcisions (24-48hr old)
333 Athlone Ave, Suite 102
Woodstock, ON
N4V 0B8
Generic FormPhone: 519-290-0192
Fax: 519-290-0957
Fax consult
Speaks Afrikaans

Goderich Physicians

Subspecialty / Interest

Location

Form

Contact

Information

Dr. Daters, Aaron 1. General SurgeryAlexandra Marine and General Hospital Generic FormPhone: 519-524-8689
Fax: 519-524-8527
Fax consult
Dr. Kittmer, Tiffaney 1. General Surgery
2. Minimally Invasive Surgery
3. Carpal Tunnel Surgery
4. Endoscopy
5. Wound Management
Alexandra Marine and General Hospital Generic FormPhone: 519-524-8689 ext 5208
Fax: 519-524-8527
Fax consult
Speaks French

Tillsonburg Physicians

Subspecialty / Interest

Location

Form

Contact

Information

Dr. Colaco, Carmo Domingos 1. General Surgery17 Bear St (office)
Tillsonburg ON
N4G 1V4
Generic FormPhone: 519-842-3611
Fax: 519-842-9668
Fax consult
Dr. Crosby, Jacqueline 1. General Surgery
2. General Surgical Oncology
17 Bear St (office)
Tillsonburg ON
N4G 1V4
Generic FormPhone: 519-842-2101
Fax: 519-842-9668
Fax consult

Hanover, Walkerton & Listowell Physicians

Subspecialty / Interest

Location

Form

Contact

Information

Dr. Duque-Rendon, Hector 1. General SurgeryHanover and District Hospital Generic FormPhone: 519-364-0910
Fax: 519-364-0920
Fax consult
Speaks Spanish
Dr. Kieffer, Kellan 1. General SurgeryHanover and District Hospital Generic FormPhone: 519-364-0910
Fax: 519-364-0920
Fax consult
Dr. Graham, Duncan 1. General SurgerySouth Bruce Grey Health Centre – Walkerton Generic FormPhone: 519-881-2880
Fax: 519-370-2425
Fax consult
Dr. Ramsewak, Ravi 1. General Surgery
2. Bowel Resection
Listowel Memorial Hospital Generic FormPhone: 519-291-3125
Fax: 519-291-5440
Fax consult

Pediatric Physicians

Subspecialty / Interest

Location

Form

Contact

Information

Dr. Butter, Andreana 1. Pediatric General Surgery
2. Congenital Diaphragmatic Hernia
3. Chest Wall Deformities
4. Robotic Surgery
Children’s Hospital London Health Sciences Centre Generic FormPhone: 519-685-8401
Fax: 519-685-8421
Fax consult
Speaks French & Dutch
Dr. Lam, Jennifer 1. Pediatric General SurgeryChildren’s Hospital London Health Sciences Centre Generic FormPhone: 519-685-8500 ext 71553
Fax: 519-685-8019
Fax consult
Dr. Merritt, Neil 1. Pediatric General Surgery
2. Neonatal Surgery
3. Chest Wall Deformities
4.Pediatric Trauma
Children’s Hospital London Health Sciences Centre Generic FormPhone: 519-685-8454
Fax: 519-685-8465
Fax consult
Dr. Scott, Leslie 1. Pediatric General Surgery
2. Adult Breast Surgeon
Children’s Hospital London Health Sciences Centre Generic FormPhone: 519-685-8571
Fax: 519-685-8241
Fax consult