General Surgery

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 Surg 1. Colonoscopy LHSC – University Hospital

LHSC – Victoria Hospital

Gen Surg Colonoscopy Referral Fax: 519-667-6764 Fax consult
Inguina/Umbilical Hernia & Gallbladder Surgery 1. Inguinal Hernia Repair
2. Umbilical Hernia Repair
3. Gallbladder Disease
LHSC – University Hospital

LHSC – Victoria Hospital

Gen Surg Hernia & Gallbladder Referral Fax: 519-685-8273 Fax consult
Colorectal Cancer Diagnostic Referral 1. CCO Colorectal Cancer Referral

CCO SWLHIN Colorectal Referral Phone: 519-685-8500 Ext.56928

Fax: 519-432-0271

Fax consult
Rectal Cancer Diagnostic Referral 1. CCO Rectal Cancer Referral

CCO SWLHIN Rectal Referral Phone: 519-685-8500 Ext.53232

Fax: 519-432-1805

Fax consult
Hepato/Pancreatic/Biliary (HPB) Cancer Diagnostic Referral 1. CCO Hepato/Pancreatic/Biliary Cancer Referral

CCO SWLHIN HPB Referral Phone: 519-685-8500 Ext.36742

Fax: 519-663-3047

Fax consult
Strathroy Endoscopy – Gen Surg 1. Colonoscopy
2. Gastroscopy
Strathroy Middlesex General Hospital Strathroy Endoscopy Referral Fax:
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 Form Phone: 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 Form Phone: 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 Form Phone: 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 Form Phone: 519-663-3458
Fax: 519-663-3906
Fax consult
Dr. Elnahas, Ahmad 1. General Surgery
2. Minimally Invasive Surgery
LHSC – University Hospital Generic Form Phone: 519-663-3478
Fax: 519 663-3481
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 Form Phone: 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 Form Phone: 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 Form Phone: 519-685-8740
Fax: 519-685-8744
Fax consult
Dr. Leeper, Rob 1. General Surgery
2. Complex Abdominal Wall Reconstruction
LHSC – Victoria Hospital Generic Form Phone: 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 Form Phone: 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 Form Phone: 519-663-2920
Fax: 1-855-538-2926
Fax consult
Dr. Ott, Michael 1. General Surgery
2. Colorectal Surgery
LHSC – Victoria Hospital Generic Form Phone: 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 Form Phone: 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 Form Phone: 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 Form Phone: 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 Form Phone: 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 Form Phone: 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 Form Phone: 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 Form Phone: 519-663-3312
Fax: 519-663-3312
Fax consult
Dr. Vinden, Christopher 1. General Surgery
2. Colonoscopy
3. Hernia Repair
LHSC – Victoria Hospital Generic Form Phone: 519-685-8407
Fax: 519-685-8408
Fax consult
Dr. Denton, Douglas 1. General Surgery Medpoint Health Care Centre – Citi Plaza
355 Wellington St, Suite 233
London, ON
N6A 3N7
Medpoint Referral Phone: 519-432-1919
Fax: 519-432-9529
Fax consult
Dr. Oung, Myint 1. General Surgery Medpoint Health Care Centre – Citi Plaza
355 Wellington St, Suite 233
London, ON
N6A 3N7
Medpoint Referral Phone: 519-432-1919
Fax: 519-432-9529
Fax consult

St. Thomas Physicians

Subspecialty / Interest

Location

Form

Contact

Information

Dr. Armstrong, Jeffrey 1. General Surgery 236 Elm St
St Thomas, ON
N5R 1J5
Generic Form Phone: 519-631-0567
Fax: 519-631-0921
Fax consult
Dr. Black, Robert 1. General Surgery 236 Elm St
St Thomas, ON
N5R 1J5
Generic Form Phone: 519-631-0567
Fax: 519-631-0921
Fax consult
Dr. Bottoni, David 1. General Surgery 236 Elm St
St Thomas, ON
N5R 1J5
Generic Form Phone: 519-631-0567
Fax: 519-631-0921
Fax consult
Dr. Collins, Paul 1. General Surgery 236 Elm St
St Thomas, ON
N5R 1J5
Generic Form Phone: 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 Form Phone: 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 Surgery Stratford General Hospital Generic Form Phone: 519-273-4100
Fax: 519-273-3208
Fax consult
Website
Dr. Lefebvre, Kevin 1. General Surgery Stratford General Hospital Generic Form Phone: 519-273-4100 ext 5
Fax: 519-273-3208
Fax consult
Website
Dr. Maruscak, Adam 1. General Surgery Stratford General Hospital Generic Form Phone: 519-273-4100 ext 3
Fax: 519-273-3208
Fax consult
Website
Dr. McCune, Marcie 1. General Surgery Stratford General Hospital Generic Form Phone: 519-273-4100 ext 4
Fax: 519-273-3208
Fax consult
Website
Dr. McWilliam, Morgan 1. General Surgery Stratford General Hospital Generic Form Phone: 519-273-4100
Fax: 519-273-3208
Fax consult
Website
Dr. O’Neill, Craig 1. General Surgery Stratford General Hospital Generic Form Phone: 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 Surgery Strathroy 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 Form Phone: 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 Surgery 510 Ingersoll Ave, Suite 102
Woodstock, ON
N4S 4X9
Generic Form Phone: 519-421-1996
Fax: 519-421-3334
Fax consult
Speaks Arabic
Dr. Humphrey, Robert 1. General Surgery 333 Athlone Ave, Suite 106
Woodstock, ON
N4V 0B8
Generic Form Phone: 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 Form Phone: 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 Form Phone: 519-290-0192
Fax: 519-290-0957
Fax consult
Speaks Afrikaans

Goderich Physicians

Subspecialty / Interest

Location

Form

Contact

Information

Dr. Daters, Aaron 1. General Surgery Alexandra Marine and General Hospital Generic Form Phone: 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 Form Phone: 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 Surgery 17 Bear St (office)
Tillsonburg ON
N4G 1V4
Generic Form Phone: 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 Form Phone: 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 Surgery Hanover and District Hospital Generic Form Phone: 519-364-0910
Fax: 519-364-0920
Fax consult
Speaks Spanish
Dr. Kieffer, Kellan 1. General Surgery Hanover and District Hospital Generic Form Phone: 519-364-0910
Fax: 519-364-0920
Fax consult
Dr. Graham, Duncan 1. General Surgery South Bruce Grey Health Centre – Walkerton Generic Form Phone: 519-881-2880
Fax: 519-370-2425
Fax consult
Dr. Ramsewak, Ravi 1. General Surgery
2. Bowel Resection
Listowel Memorial Hospital Generic Form Phone: 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 Form Phone: 519-685-8401
Fax: 519-685-8421
Fax consult
Speaks French & Dutch
Dr. Jones, Sarah 1. Pediatric General Surgery Children’s Hospital London Health Sciences Centre Generic Form Phone: 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 Form Phone: 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 Form Phone: 519-685-8571
Fax: 519-685-8241
Fax consult