All referrals to the Cancer Center must be submitted on the official New 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.