Palliative Care

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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London PhysiciansSubspecialty / InterestLocationFormContactInformation
London Home Palliative Care (LHPC) Team Referral1. Home based Palliative Care395 Southdale Rd E, London ON N6E 1A2LHPC Referral FormPhone: 519-472-2920
Fax: 877-423-9739
Fax consult
*Call if Urgent (<24hrs)
Non-Malignant Palliative Care ClinicReferral FormPhone: 226-316-0483
Fax: 226-330-0442

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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.