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.
| Clinic | Services | Location | Form | Contact | Information |
|---|---|---|---|---|---|
| London X-Ray Associates | 1. MSK Pain Injections 2. Advanced MSK pain assessment | 450 Central Ave, Suite 104 London, ON N6B 2E8 | MSK Requisition LXA | Phone: 519-672-5270 Fax: 519-672-2724 | Fax consult Website |
| SouthWest Musculoskeletal Rapid Access Clinic (SW MSK RAC) | Surgical Consultation Diagnosis | LHSC – UH Woodstock General Hospital Tillsonburg District Memorial Grey Bruce Regional Health Service St. Thomas Elgin General Hospital Stratford General Hospital Strathroy General Hospital | South West LHIN Request for Hip and Knee Ortho Consult Form | X-RAY REPORTS WITHIN 6 MONTHS MUST ACCOMPANY REFERRAL. MRI is NOT recommended. Knee: Bilateral knee standing AP & tunnel, lateral knee at 30°, skyline Hip: AP pelvis, AP and lateral hip |
Need eForms for your EMR system? EMR training? IT services? Online booking? Check-in kiosk? Contact us
Get all the London-area eForms for OSCAR, JUNO, Avaros, THT, Indivicare here
Contact [email protected] for any other eForm needs for OSCAR, JUNO, Avaros, THT, Indivicare, and Accuro EMRs.