Referrals to the Obstetrics & Gynaecology Department | Department of Obstetrics & Gynaecology | School of Medicine

When sending any referral please include;

A referral letter,
A referral form (if applicable),
All relevant testing such as pap smears, biopsy/ECC, ultrasounds, bloodwork, etc.,
Reports from other specialists involved in the patient's care.

This information will assist the physician when triaging the referral and the urgency of the appointment. Not including this information may result in delay of your patient being seen.

Routine Obstetrics

For routine obstetrical referrals - fax to: 613-548-1330 clearly indicating who you are referring to.

Staff:

Dr. Susan Chamberlain
Dr. Marisa Horniachek
Dr. Romy Nitsch
Dr. Julie Tessier
Dr. Sophie Gibson

For all obstetrical referrals complete up to date antenatal information needs to be received by fax at least 1 week prior to their appointment.

Office Numbers:

Dr. Horniachek - 613-548-7840 (Kim)
Dr. Chamberlain - 613-548-2434 (Kelly)
Drs. Nitsch & Tessier - 613-548-1327 (Lorrie)
Dr. Gibson - 613-548-6069 (Deb)

Teen Obstetrics

For referrals - fax to: 613-548-1330 clearly indicating the Teen Obstetrics Clinic.

Staff:

Dr. Sophie Gibson

For all obstetrical referrals complete up to date antenatal information needs to be received by fax at least 1 week prior to their appointment.

Office Number:

Dr. Gibson - 613-548-6069 (Deb)

Early Pregnancy Loss Clinic

For referrals - fax the Central Referral Office Form to: 613-548-1330 clearly indicating the Early Pregnancy Loss Clinic.

Staff:

Dr. Ashley Waddington

Central Referral Office Form [PDF]

Central Referral Office Form (word doc)

This clinic is for patients with non viable pregnancies only (missed abortion, incomplete abortion, ectopic pregnancies as long as the patient is stable, and pregnancies of unknown location). Patients should be stable and able to wait up to 72 hours to be seen in the clinic. Please ensure that all relevant and necessary information is included with the referral. You must send all ultrasound(s) and bloodwork (BhCG, Hgb, type and screen). lf patient is Rh negative, please indicate if they have received Winrho.

Early Pregnancy Loss Clinic Information Letter [PDF]

Office Numbers:

Central Referral Office - 613-549-6666 x1238 (Jezinha)

General Gynaecology

For referrals - fax the Central Referral Office Form to: 613-548-1330.

Staff:

Dr. Susan Chamberlain
Dr. Marisa Horniachek
Dr. Romy Nitsch
Dr. Julie Tessier
Dr. Sophie Gibson

Central Referral Office Form [PDF]

Central Referral Office Form (word doc)

Your patient will be assigned a clinic date and a gynaecologist according to availability and priority (triage). You may refer to a specific general gynaecologist, however we rely on your judgement regarding the potential longer wait time.

Office Numbers:

Central Referral Office - 613-548-7802
Dr. Horniachek - 613-548-7840 (Kim)
Dr. Chamberlain - 613-548-2434 (Kelly)
Drs. Nitsch & Tessier - 613-548-1327 (Lorrie)
Dr. Gibson - 613-548-6069 (Deb)

Sexual Medicine Clinic

For referrals - fax the Central Referral Office Form to: 613-548-1330 clearly indicating the Sexual Medicine Clinic.

Staff:

Dr. Marisa Horniachek

Central Referral Office Form [PDF]

Central Referral Office Form (word doc)

Office Numbers:

Central Referral Office - 613-548-7802
Dr. Horniachek- 613-548-7840 (Kim)

Vulvar Disorders Clinic

For referrals - fax the Central Referral Office Form to: 613-548-1330 clearly indicating the Vulvar Disorders Clinic.

Staff:

Dr. Susan Chamberlain

Central Referral Office Form [PDF]

Central Referral Office Form (word doc)

Office Numbers:

Central Referral Office - 613-548-7802
Dr. Chamberlain - 613-548-2434 (Kelly)

Transgender Clinic

For referrals - fax the Central Referral Office Form to: 613-548-1330 clearly indicating the Transgender Clinic.

Staff:

Dr. Ashley Waddington

Central Referral Office Form [PDF]

Central Referral Office Form (word doc)

Office Numbers:

Central Referral Office - 613-548-7802
Dr. Waddington (Transgender) - 613-548-6069 (Deb)

Contraception Clinic

For referrals - fax the Central Referral Office Form to: 613-548-1330 clearly indicating the Contraception Clinic.

Staff:

Dr. Ashley Waddington
CARE Fellows

Central Referral Office Form [PDF]

Central Referral Office Form (word doc)

Office Numbers:

Central Referral Office - 613-548-7802
Drs. Waddington & CARE Fellows - 613-548-6069 (Deb)

Urogynaecology (Incontinence & Prolapse)

For referrals - fax the Central Referral Office Form to: 613-548-1330 clearly indicating the Urogynaecology Clinic.

Staff:

Dr. Shawna Johnston
Dr. Sophia Badowski
Dr. Sarah Wozney

Central Referral Office Form [PDF]

Central Referral Office Form (word doc)

Office Numbers:

Central Referral Office - 613-548-7802
Drs. Wozney, Johnston & Badowski - 613-548-6115 (Joanne)

Reproductive Endocrinology & Infertility

For referrals - fax the Central Referral Office Form to: 613-548-1330 clearly indicating the Reproductive Endocrinology & Infertility Clinic.

For Infertility referrals – Not accepting new referrals. Please contact Ottawa Fertility Centre or centre of your choice.

Staff:

Central Referral Office Form (PDF)

Central Referral Office Form (Word Doc)

Office Numbers:

Central Referral Office - 613-548-7802
Office Number - 613-549-6666 x8199 (Kelly)

Gynaecologic Oncology and Colposcopy

For referrals - fax to: 613-548-1330.

Staff:

Dr. Anita Agrawal
Dr. Elena Park
Dr. George Gray

Office Numbers:

Colposcopy - 613-549-6666 x4909 (Jezinha)
Drs. Agrawal & Gray - 613-549-6666 x4423 (Lorraine)
Dr. Park - 613-549-6666 x6071 (Taryn)

High Risk Obstetrics (Maternal-Fetal Medicine)

For referrals - fax the Maternal-Fetal Medicine Referral Form to: 613-548-1330

Staff:

Dr. Laura Gaudet
Dr. Jonathan Ausman
Dr. Graeme Smith

Maternal-Fetal Medicine Referral Form [PDF]

Please use this form to refer patients to the Maternal-Fetal Medicine (MFM) clinic. Please complete the form in full. Sending all the relevant information requested on the referral form ensures timely and efficient management of your patient to the MFM clinic.

For all obstetrical referrals complete up to date antenatal information needs to be received by fax at least 1 week prior to their appointment.

Gestational Diabetes Resource [PDF]

If you are referring a patient due to gestational diabetes, this resource pamphlet is designed to support them during heir pregnancy, alongside the care that they receive from their physician.

Office Number:

Drs. Gaudet, Smith & Ausman- 613-548-6072 (Rachel)

Postpartum Health Clinic

For referrals - fax the Postpartum Health Clinic Referral Form to: 613-548-1330

Pregnancy is a physiologic stress test that identifies some women as being at increased risk for cardiovascular disease. At the Postpartum Health Clinic women are screened for cardiovascular risk factors at 6 months postpartum. Any person who has one or more of the following pregnancy-related cardiovascular risk indicators is eligible to attend this clinic:

• Preeclampsia, eclampsia, HELLP syndrome, gestational hypertension

• Gestational diabetes

• IUGR baby or term baby <2500g

• Idiopathic preterm birth (prior to 37 weeks)

• Placental abruption leading to delivery for either maternal or fetal reasons
• Term baby >4500g

Staff:

Dr. Graeme Smith

Postpartum Health Clinic Referral Form [pdf]

Postpartum Health Clinic Referral Form [word doc]

Referrals are typically made using our internal referral form before a patient is discharged from hospital. If a referral is missed, please complete the above form in full and fax to 613-548-1330. Patients who are referred will receive an appointment notice at 3-4 months postpartum. Appointments in this clinic are scheduled for 6 months postpartum.

Note: The purpose of this clinic is cardiovascular disease screening and prevention at 6 months postpartum. Patients who require management in the early postpartum should be seen by their primary care physician, midwife or obstetrician as approriate.

Office Number:

613-549-6666 x2740 (Kira)

Referral Forms for Download

Maternal-Fetal Medicine Referral Form [PDF]

Postpartum Health Clinic Referral Form [PDF]

Central Referral Office Form [PDF]

Central Referral Office Form [WORD DOC]
Note: Please do not alter the Central Referral Office Form. The word version is provided so that it may be integrated into existing electronic chart systems.