Clinicians can make a referral to GeriMedRisk by: 


Telephone: 1-855-261-0508

(Call Toll-Free Monday to Friday: 9 am- 5 pm)


Fax: (519) 279-2959

Please email to confirm the fax has been received


eConsult: Ontario Telemedicine Network or Champlain BASE™ eConsult

Ontario Telemedicine Network eConsult  (Specialty or Recipient: GeriMedRisk)

Champlain BASE™ eConsult (Specialty: GeriMedRisk)



GeriMedRisk Referral Form

Allied health care professionals can use this referral form below to communicate medication-related, physical and mental health concerns to their older patient's primary care clinician when a GeriMedRisk consult may be appropriate. This form provides the primary care provider with clinical information and can be used as part of the referral to GeriMedRisk from primary care, should they wish to consult. 
Download Intake Form Below: 

Recommend Patient Referral to GeriMedRisk - Intake Form


Intake Forms: Specialized Geriatric Services (SGS) Intake Forms

Regions: Champlain, Hamilton Niagara Haldimand Brant and North Simcoe Muskoka

Download Intake Forms Below: 

North Simcoe Muskoka              Champlain            Hamilton Niagara Haldimand


What is GeriMedRisk - One Page PDF Document


General Inquiries

If you are interested in hearing more about GeriMedRisk, please contact us using the form below.