Infectious Diseases

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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ClinicSubspecialty / InterestLocationFormContactInformation
Specialty Health Clinic (SHC)Ontario-wide HIV PrEP & Viral Hepatitis Virtual ClinicVirtual/Ontario-wideSHC Referral FormFax: 226-785-0986Fax consult
Hepatitis Clinic lead by:
Cheryl Dale RN(EC) MScN AF-AASLD, Hepatology Nurse Practitioner
HepB, HepCVirtual/Ontario-wideHepatitis Referral FormPhone: 519-902-2066
Fax: 519-936-7982
Fax consult, attach relevant lab/imaging results

Adult Physicians

AdultSubspecialty / InterestLocationFormContactInformation
Dr. Bondy, Lise1. Hep C/HIV co-infection
2. General Infectious Diseases
St. Joseph’s Health Care London
268 Grosvenor Street
Generic Referral FormPhone: 519-646-6415
Fax: 519-646-6040
Fax consult – include bloodwork
Dr. Devlin, Megan1. HIV
2. General Infectious Diseases
3. Tropical Diseases
Phone: 519-646-6207
Fax: 519-646-6040
Dr. Elsayed, Sameer1. General Infectious DiseasesPhone: 519-685-8726
Fax: 519-685-8109

Speaks Arabic
Dr. MacPherson, Douglas1. General Infectious Diseases189 Elm St, St Thomas, ON N5R 5C4Phone: 519-631-1380
Fax: 519-207-9200
Fax consult – include bloodwork
Dr. Shalhoub, Sarah1. Transplant Infectious Diseases
2. General Infectious Diseases
St. Joseph’s Health Care London
268 Grosvenor Street
Phone: 519-646-6323
Fax: 519-646-6328
Dr. Silverman, Michael1. General Infectious Diseases
3. Hep C
4. Fecal transplant for recurrent C.Diff
Phone: 519-646-6311
Fax: 519-646-6328
Dr. Thompson, Bill1. Diabetic feet managment
2. HIV
3. General Infectious Diseases
310 Wellington Road London, ON N6C4P4; St. Josephs Health Care LondonLondon Diabetes Foot Clinic Referral FormPhone: 519-663-3849
Fax: 519-432-6266

Pediatric Physicians

Pediatric PhysiciansSubspecialty / InterestLocationFormContactInformation
Dr. Barton-Forbes, Michelle1. Congenital infections
2. Pediatric Infectious Diseases
Children’s Hospital, London Health Sciences CentreGeneric Referral FormPhone: 519-685-8500 ext. 58299
Fax: 519-685-8156
Fax consult
Dr. Nashid, Nancy1. Congenital infections
2. Pediatric HIV
3. Pediatric Infectious Diseases
Phone: 519-685-8500 ext. 58299
Dr. Salvadori, MarinaPhone: 519-685-8299
Fax: 519-685-8156
Fax consult
Speaks Romanian

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