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.
Table of Contents
London Physicians
| Physicians | Subspecialty / Interest | Location | Form | Contact | Information |
|---|---|---|---|---|---|
| Dr. Ghadieh, Omar | 1. Adult Nephrology 2. HTN 3. Urgent Internal Medicine | Saffron Health Centre 11 Base Line Rd E, Unit 1 London, ON N6C 5Z8 | Generic Form | Phone: 519-204-0361 Fax: 519-204-6185 | Fax consult Speaks English & Arabic |
| Dr. Blake, Peter | 1. Nephrology 2. Renal Stones | LHSC – Victoria Hospital | Generic Form | Phone: 519-685-8326 Fax: 519-685-8470 | Fax consult |
| Dr. Garg, Amit | 1. Nephrology | LHSC – Victoria Hospital | Generic Form | Phone: 519-685-8502 Fax: 519-685-8028 | Fax consult |
| Dr. Gunaratnam, Lakshman | 1. Transplant Nephrology | LHSC – Victoria Hospital | Generic Form | Phone: 519-663-3632 Fax: 519-663-3449 | Fax consult Speaks Tamil |
| Dr. House, Andrew | 1. Nephrology 2. Tuberous Sclerosis Complex | LHSC – University Hospital | Generic Form | Phone: 519-663-3167 Fax: 519-663-3449 | Fax consult Speaks French & Italian |
| Dr. Huang, Susan | 1. Nephrology | LHSC – Victoria Hospital | Generic Form | Phone: 519-685-8066 Fax: 519-488-4732 | Fax consult Speaks Mandarin |
| Dr. Iyer, Hariharan | 1. Nephrology | LHSC – University Hospital | Generic Form | Phone: 519-663-3852 Fax: 519-663-3449 | Fax consult Speaks Hindi & Gujarati |
| Dr. Jain, Arsh | 1. Nephrology | LHSC – Victoria Hospital | Generic Form | Phone: 519-685-8561 Fax: 519-685-8028 | Fax consult Speaks Hindi & Punjabi |
| Dr. Johnson, John | 1. Nephrology | LHSC – University Hospital | Generic Form | Phone: 519-663-3319 Fax: 519-663-3449 | Fax consult |
| Dr. Kortas, Claude | 1. Nephrology | LHSC – Victoria Hospital | Generic Form | Phone: 519-685-8287 Fax: 519-685-8224 | Fax consult Speaks French, Arabic & Romanian |
| Dr. Lindsay, Robert | 1. Nephrology | Kidney Care Centre 785 Wonderland Rd S, Suite 205 London, ON N6K 1M6 | Generic Form | Phone: 519-685-8500 ext 58349 Fax: 519-685-8395 | Fax consult |
| Dr. McIntyre, Christopher | 1. Nephrology 2. Cardio-Renal Medicine | LHSC – Victoria Hospital | Generic Form | Phone: 519-685-8500 Fax: 519-685-8028 | Fax consult |
| Dr. Moist, Louise | 1. Nephrology 2. Hypertension | LHSC – Victoria Hospital | Generic Form | Phone: 519-685-8211 Fax: 519-685-8449 | Fax consult |
| Dr. Lotfy, Khaled | 1. Nephrology 2. Hypertension 3. Transplant Nephrology | LHSC – University Hospital | Generic Form | Phone: 519-663-3350 Fax: 519-663-3449 | Fax consult |
| Dr. Rehman, Faisal | 1. Nephrology 2. Internal Medicine 3. Transplant Nephrology | LHSC – University Hospital | Generic Form | Phone: 519-663-3285 Fax: 519-663-3449 | Fax consult Speaks Urdu |
| Dr. Sultan, Nabil | 1. Nephrology | LHSC – Victoria Hospital | Generic Form | Phone: 519-685-8385 Fax: 519-685-8429 | Fax consult Speaks Arabic |
| Dr. Weir, Matthew | 1. Nephrology | LHSC – University Hospital | Generic Form | Phone: 519-663-2998 Fax: 519-663-3449 | Fax consult |
| Dr. Wyllie, Blair | 1. Nephrology 2. Internal Medicine | LHSC – Victoria Hospital | Generic Form | Phone: 519-685-8132 Fax: 519-685-8357 | Fax consult |
Pediatric Physicians
| Pediatric Physicians | Subspecialty / Interest | Location | Form | Contact | Information |
|---|---|---|---|---|---|
| Dr. Filler, Guido | 1. Pediatric Nephrology & Hypertension | Children’s Hospital London Health Sciences Centre | Generic Form | Phone: 519-685-8379 Fax: 519-685-8156 | Fax consult Speaks German Website |
| Dr. Grimmer, Joanne | 1. Pediatric Nephrology & Hypertension | Children’s Hospital London Health Sciences Centre | Generic Form | Phone: 519-685-8379 Fax: 519-685-8156 | Fax consult Website |
| Dr. Sharma, Ajay | 1. Pediatric Nephrology & Hypertension | Children’s Hospital London Health Sciences Centre | Generic Form | Phone: 519-685-8379 Fax: 519-685-8156 | Fax consult Website |
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