Cancer Referrals

New patients should be referred to the breast centre by a primary-care physician.

Breast Surgical Services

Please complete the Breast Surgical Services Referral Form (PDF) and fax it to the appropriate number listed on the form.

Mammogram screening appointments

Patients who are eligible for the average-risk Ontario Breast Screening Program (OBSP) do not need a referral from a physician to schedule a screening mammogram. Patients may contact the Marvelle Koffler Breast Centre directly to make an appointment.

OBSP High-Risk Screening Program

People ages 30 to 69 can be screened through the High-Risk OBSP if they have a referral from their physician, a valid Ontario Health Insurance Plan (OHIP) number, no acute breast symptoms, and fall into one of the following risk categories:

• Known to have a gene mutation that increases the risk for breast cancer (e.g., BRCA1, BRCA2, TP53, PTEN, CDH1)
• First-degree relatives of someone with a gene mutation that increases the risk of breast cancer (e.g., BRCA1, BRCA2, TP53, PTEN, CDH1) who have already had genetic counselling and have chosen not to have genetic testing
• Assessed at a genetics clinic (using the IBIS or BOADICEA tools) as having a 25 per cent or greater lifetime risk of breast cancer based on personal and family history
• Have had radiation therapy to the chest to treat another cancer or condition (e.g., Hodgkin lymphoma) before age 30 and at least eight years ago

Please download the OBSP High-Risk Program referral form.

Genetic testing for breast cancer

Referring health-care providers can fax a referral to the Familial Breast Cancer Clinic at 416-586-1581. For questions, please call 416-586-4800 ext. 3244.

Our office will send an appointment date and time to the referring pjhysician, who will notify the patient. Please contact our office at 416-586-4800 ext. 3244 to confirm the appointment.

Familial Breast Cancer Clinic

Please fax referrals to 416-586-4545. We welcome referrals from medical oncologists, surgeons, family physicians, obstetricians, gynaecologists and radiation oncologists.

Our genetics teams constructs a family tree by telephone or in person to determine eligibility before offering a clinic appointment.

A genetic referral should be offered to a patient when there is suspicion of a hereditary cancer predisposition. For more information, please download the Hereditary Breast/Ovarian Cancer Referral Guidelines (PDF).

Colorectal Diagnostic Assessment Program (DAP)

A highly specialized program for people undergoing diagnostics for concerning symptoms or a potential colon cancer diagnosis. We welcome referrals from family physicians.

Please download the referral form (PDF) and fax it to 416-586-4853.

We will notify the patient and the referring physician’s office of the appointment with a gastroenterologist or a surgeon, based on referral details.

Gastric cancer

Please complete the gastric cancer referral form (PDF) and fax it to the appropriate number listed on the form.

Our office will send an appointment date and time to the referring physician. Please notify the patient of the appointment. Please contact our office at 416-586-4800 ext. 3244 to confirm.

Please fax referrals to 416-946-2288. For urgent referrals, please contact the gyn-oncology surgeon directly.

Include:

• Patient's full name in the subject line
• New patient referral form
• All pathology reports
• All radiology reports
• All treatment and operative reports
• Your contact information, including fax number and phone number

Please fax referrals directly to the physician. Include the following:

• Patient's full name
• Patient's contact information
• OHIP number
• Relevant medical history

Dr. Ian J. Witterick
Phone: 416-586-4800 ext. 8313
Fax: 416-586-8583

Dr. Joel C. Davies
Phone: 416-586-4800 ext. 4188
Fax: 416-658-8116

Dr. Eric Monteiro
Phone: 416-586-4800 ext. 7954
Fax: 416-660-4350

Dr. Allan Vescan
Phone: 416-586-4439
Fax: 416-424-1484

Please complete the peritoneal surface malignancy referral form (PDF) and fax it to the appropriate number listed on the form. Please note that referrals must come from a physician.

Please fax referrals directly to the physician. Include the following:

• A referral letter with the referring physician's billing number
• Complete demographics of the patient being referred
• Copies of all workup completed to date — MRI, X-ray, CT, pathology, etc.
• The referring office will be called with an appointment date and time

Dr. Jay Wunder
Orthopaedic surgery
Phone: 416-586-4800 ext. 6341
Fax: 416-586-8397

Dr. Kim Tsoi
Phone: 416-586-4800 ext. 4586
Fax: 416-586-8397

Dr. Peter Ferguson
Phone: 416-586-4800 ext. 8687
Fax: 416-586-8397

We accept referrals from physicians. Referrals are not accepted for benign thyroid disease, low-risk thyroid cancer, obesity, diabetes or dyslipidemia.

Please fax the referral form (PDF) to 416-586-8861. Incomplete referrals will not be accepted.

We accept referrals from family physicians and specialists. Once the referral is reviewed, an appointment will be booked with the patient directly.

All referrals should include:

• Patient's full name
• Date of birth
• OHIP number
• Contact information (including mailing address and email address)
• Reason for the referral
• Any laboratory and diagnostic results from tests already completed

 Please send referrals and all relevant results by fax to 416-586-3159.

Please visit Pathology and Laboratory Medicine or Medical Imaging for more information about referring a patient for diagnostic testing.