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
Clinics
| Clinic | Subspecialty / Interest | Location | Form | Contact | Information |
|---|---|---|---|---|---|
| CCO Thoracic Diagnostic Assessment Program | 1. Thoracic Cancer | LHSC – Victoria Hospital | CCO Thoracic DAP Referral | Phone: 519-685-8500 X 53232 Fax: 519-432-1805 | Fax Consult |
London Physicians
| Physicians | Subspecialty / Interest | Location | Form | Contact | Information |
|---|---|---|---|---|---|
| Dr. Fortin, Dalilah | 1. Thoracic Surgery | LHSC – Victoria Hospital | Generic Form | Phone: 519-685-8777 Fax: 519-685-8778 | Fax consult Speaks French |
| Dr. Inculet, Richard | 1. Thoracic Surgery 2. Thoracic Surgical Oncology 3. Minimally Invasive Thoracic Surgery | LHSC – Victoria Hospital | Generic Form | Phone: 519-667-6679 Fax: 519-667-6762 | Fax consult |
| Dr. Malthaner, Richard | 1. Thoracic Surgery | LHSC – Victoria Hospital | Generic Form | Phone: 519-667-6835 Fax: 519-667-6517 | Fax consult |
| Dr. Nayak, Rahul | 1. Thoracic Surgery 2. Thoracic Surgical Oncology 3. Minimally Invasive/ Robotic Surgery | LHSC – Victoria Hospital | Generic Form | Fax: 519-685-8076 | Fax consult |
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Get all the London-area eForms for OSCAR, JUNO, Avaros, THT, Indivicare here
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