Clinical care evolves rapidly in genetics and referral criteria may change over time, therefore it is important to check back frequently for updates.
Referring physicians can fax their consultation request to 514-412-4296 or send it to [email protected]. Please provide the following information:
- Reason for referral
- First name, last name
- Date of birth
- Medicare number and expiration date
- Address
- Phone number(s)
To ensure that the request fulfills the criterias and includes adequate information, please use the electronic referral forms below.
Referral Forms
Hereditary Polyposis-colorectal Cancer Referral / Indications Form
Hereditary Breast/ovarian Cancer Referral / Indications Form
Cancer Predisposition Syndrome – Surveillance Clinic Referral indications
Medical Genetic Referral / Indications Form