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
Adult Physicians
| London Physicians | Subspecialty / Interest | Location | Form | Contact | Information |
|---|---|---|---|---|---|
| Dr. Boulton, Melfort | 1. Neurosurgery 2. Cerebrovascular Surgery | LHSC – University Hospital | Generic Form | Phone: 519-663-3602 Fax: 519-663-3601 | Fax consult |
| Dr. Duggal, Neil | 1. Neurosurgery 2. Spine Surgery | LHSC – University Hospital | Generic Form | Phone: 519-663-2926 Fax: 519-663-2947 | Fax consult |
| Dr. Hebb, Matthew | 1. Neurosurgery 2. Neuro-Oncology (Incl. Skull-base Tumours) 3. Movement Disorder Surgery | LHSC – University Hospital | Generic Form | Phone: 519-663-2981 Fax: 519-663-3130 | Fax consult |
| Dr. Lownie, Stephen | 1. Neurosurgery 2. Cerebrovascular Surgery | LHSC – University Hospital | Generic Form | Phone: 519-663-2927 Fax: 519-663-3888 | Fax consult Speaks French |
| Dr. MacDougall, Keith | 1. Neurosurgery 2. Neuro-Oncology 3. Chronic Pain Surgery (Inc. Trigeminal Neuralgia) 4. Epilepsy Surgery 5. Movement Disorder Surgery (Parkinson’s) | LHSC – University Hospital | Generic Form | Phone: 519-663-3628 Fax: 519-663-3199 | Fax consult |
| Dr. Megyesi, Joseph | 1. Neurosurgery 2. Neuro-Oncology | LHSC – University Hospital | Generic Form | Phone: 519-663-3565 Fax: 519-663-3419 | Fax consult |
| Dr. Ng, Wai | 1. Neurosurgery 2. Spine Surgery 3. Peripheral Nerve Surgery | LHSC – University Hospital | Generic Form | Phone: 519-663-3048 Fax: 519- 663-2987 | Fax consult Speaks Chinese |
| Dr. Parrent, Andrew | 1. Neurosurgery 2. Epilepsy Surgery 3. Trigeminal Neuralgia 4. Neuromodulation for Chronic Pain | LHSC – University Hospital | Generic Form | Phone: 519-663-3707 Fax: 519-663-3753 | Fax consult |
| Dr. Siddiqi, Fawaz | 1. Neurosurgery 2. Spine Surgery 3. Neurotrauma (Head & Spine) | LHSC – University Hospital | Spine Surgery Referral | Phone: 519-685-8500 ext 55355 Fax: 519-685-8059 | Fax consult |
| Dr. Steven, David | 1. Neurosurgery 2. Epilepsy Surgery 3. Neuro-oncology 4. Spine Surgery | LHSC – University Hospital | Generic Form | Phone: 519-663-3297 Fax: 519-663-3296 | Fax consult |
| Dr. Yang, Xiao | 1. Neurosurgery | LHSC – University Hospital | Generic Form | Phone: 519-663-3531 Fax: 519-663-3363 | Fax consult |
Pediatric Physicians
| Pediatric Physicians | Subspecialty / Interest | Location | Form | Contact | Information |
|---|---|---|---|---|---|
| Dr. Ranger, Adrianna | 1. Pediatric Neurosurgery | Children’s Hospital London Health Sciences Centre | Generic Form | Phone: 519-685-8107 Fax: 519-685-8171 | Fax consult |
| Dr. de Ribaupierre, Sandrine | 1. Pediatric Neurosurgery 2. Epilepsy Surgery | Children’s Hospital London Health Sciences Centre | Generic Form | Phone: 519-685-8107 Fax: 519-685-8171 | Fax consult Speaks French |
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