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.
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 - 613-548-6072 (Rachel)
- Drs. Nitsch & Tessier - 613-548-1327 (Lorrie)
- Dr. Gibson - 613-548-6069 (Deb)
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)
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)
For referrals - fax the Central Referral Office Form to: 613-548-1330.
Staff:
- Dr. Olga Bougie
- 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
- Drs. Bougie & Horniachek - 613-548-7840 (Kim)
- Dr. Chamberlain - 613-548-6072 (Rachel)
- Drs. Nitsch & Tessier - 613-548-1327 (Lorrie)
- Dr. Gibson - 613-548-6069 (Deb)
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)
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 - 613-548-6072 (Rachel)
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)
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)
For referrals - fax the Central Referral Office Form to: 613-548-1330 clearly indicating the Urogynaecology Clinic.
Staff:
- Dr. Shawna Johnston
- Dr. Sophia Badowski
Central Referral Office Form [PDF]
Central Referral Office Form (word doc)
Office Numbers:
- Central Referral Office - 613-548-7802
- Drs. Johnston & Badowski - 613-548-6115 (Joanne)
For referrals - fax the Central Referral Office Form to: 613-548-1330 clearly indicating the Reproductive Endocrinology & Infertility Clinic.
Staff:
- Dr. Maria Velez
Central Referral Office Form (PDF)
Central Referral Office Form (Word Doc)
Office Numbers:
- Central Referral Office - 613-548-7802
- Dr. Velez - 613-549-6666 x8199 (Janice)
For referrals - fax to: 613-548-1330.
Staff:
- Dr. Anita Agrawal
- Dr. Elena Park
- Dr. George Gray
- Dr. Susan Chamberlain (Colposcopy Only)
- Dr. Marisa Horniachek (Colposcopy Only)
Office Numbers:
- Colposcopy - 613-549-6666 x4909 (Jezinha)
- Drs. Agrawal & Gray - 613-549-6666 x4423 (Lorraine)
- Dr. Park - 613-549-6666 x6071 (Taryn)
For referrals - fax the Maternal-Fetal Medicine Referral Form to: 613-548-1330
Staff:
- Dr. Laura Gaudet
- 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 - 613-548-6072 (Rachel)
For referrals - fax the Maternal 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 Maternal Health Clinic women are screened for cardiovascular risk factors at 6 months postpartum. Any woman who has one or more of the following pregnancy-related cardiovascular risk indicators is eligible to attend this clinic:
Staff:
- Dr. Graeme Smith
Maternal Health Clinic Referral Form [pdf]
Maternal 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 (Christie)
Maternal-Fetal Medicine Referral Form [PDF]
Postpartum Maternal 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.