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Juravinski cancer centre referral form

Juravinski cancer centre referral form 2026

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The document is a Patient Referral Form for the Juravinski Cancer Centre, designed for outpatient oncology new patient referrals. It requires comprehensive patient information, including personal details, diagnosis, requested services, and previous cancer treatments. The form emphasizes the need for all related reports to be faxed and notes that the referring physician retains care of the patient until they are seen by an oncologist.

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Click ‘Get Form’ to open the juravinski cancer centre referral form in the editor.
Begin by entering the patient's name, health card number, and date of birth in the designated fields. Ensure all information is accurate for seamless processing.
Fill in the patient's address, including city, province, and postal code. Provide primary and secondary phone numbers for effective communication.
Indicate whether the patient is at home or an institution. If at an institution, specify the unit and extension.
Complete the referring physician's details including fax and phone numbers. Also, include family physician information if applicable.
Select the diagnosis and urgency level from the provided options. This helps prioritize care effectively.
Specify requested services such as Medical Oncologist or Surgical Oncologist. Include any relevant comments or previous treatment details.
Ensure all sections are filled out completely before signing as a referring physician and dating the form.

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Versions	Form popularity	Fillable & printable
2016	4.8 Satisfied (251 Votes)

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Who is the CEO of Juravinski cancer Centre?

Our new President and CEO, Tracey MacArthur officially joins us this week and shes working on getting to know our people and sites. Yesterday she spent the day touring our Juravinski Hospital and Cancer Centre and left impressed by our talented and dedicated teams.

What is a cancer referral?

You have been referred urgently to hospital by your health practitioner because you may be at risk of cancer and your symptoms need further investigation. You can expect to be seen quickly to find out what is wrong with you.

Who do you get referred to if you have cancer?

See a GP if you have: If a GP thinks your symptoms could be a sign of cancer, you may get an urgent referral for more tests or to see a specialist in hospital.

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What does cancer referral mean?

This referral is to investigate your symptoms and find out what is wrong and if it could be cancer. This information gives a general overview of the urgent suspected cancer referral process.

Why am I being referred to a cancer specialist?

Takeaway. You will likely be referred to an oncologist if your doctor suspects that you have the disease. Your primary care physician may carry out tests to determine if you might have cancer. If there are any signs of cancer, your doctor may recommend visiting an oncologist as soon as possible.

How long should a cancer referral take?

These were previously called 2 week wait referrals but now you will be told whether you have cancer or not within 28 days. More people are being diagnosed with cancer, there is now a 1 in 2 lifetime risk of developing cancer. The earlier we catch it the better the chances are of survival and quality of life.

Juravinski cancer centre referral form 2026

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