Refer a patient

All referrals to the Cancer Center must be submitted on the official Patient Referral Form (PDF). Incomplete forms will be sent back to the referring physician.

  • Forms must have at least 2 patient identifiers
  • Please indicate the cancer type
  • Required staging investigations must be complete prior to referring – please refer to page 2 of the referral form. If waiting for these investigations will cause harmful delay in access to care, please ensure they are scheduled and indicate the date on the referral.
  • Referring physician contact information must be entered.
  • All patients must be told of their diagnosis.

To ensure there are no unnecessary delays, please complete the form accurately before faxing to the Cancer Care Program.

Share This Page:
Last updated: 2024-06-18