Thoracic Surgery

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 WorldOSCAR or fill the contact form below for any other eForms that are not listed for your EMR.

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Table of Contents

Clinics

ClinicSubspecialty / InterestLocationFormContactInformation
CCO Thoracic Diagnostic Assessment Program1. Thoracic CancerLHSC – Victoria HospitalCCO Thoracic DAP ReferralPhone: 519-685-8500 X 53232
Fax: 519-432-1805
Fax Consult

London Physicians

PhysiciansSubspecialty / InterestLocationFormContactInformation
Dr. Fortin, Dalilah1. Thoracic SurgeryLHSC – Victoria HospitalGeneric FormPhone: 519-685-8777
Fax: 519-685-8778
Fax consult
Speaks French
Dr. Inculet, Richard1. Thoracic Surgery
2. Thoracic Surgical Oncology
3. Minimally Invasive Thoracic Surgery
LHSC – Victoria HospitalGeneric FormPhone: 519-667-6679
Fax: 519-667-6762
Fax consult
Dr. Malthaner, Richard1. Thoracic SurgeryLHSC – Victoria HospitalGeneric FormPhone: 519-667-6835
Fax: 519-667-6517
Fax consult
Dr. Nayak, Rahul1. Thoracic Surgery
2. Thoracic Surgical Oncology
3. Minimally Invasive/ Robotic Surgery
LHSC – Victoria HospitalGeneric FormFax: 519-685-8076Fax consult

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