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Contact Us Today Phone icon 1-855-261-0508 Fax icon (519) 279-2959 Email icon info@gerimedrisk.com
GeriMedRisk

 

 

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 gmrfax@gerimedrisk.com 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)

          

 


Specialized Geriatric Services (SGS) Intake Forms

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

Click on the region below to download intake form: 
North Simcoe Muskoka  

  Champlain

  Hamilton Niagara Haldimand Brant

 

What is GeriMedRisk?

Download One Page PDF Document
 

GeriMedRisk Referral Form

Physicians, nurse practitioners and specialists are welcome to submit a referral for their patient by fax using this referral form.

 Download Referral Form

            

Suggest a GeriMedRisk Referral

Allied health care professionals can use this referral communication 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 Form for Allied Health Care Professionals:

 Download Referral Communication Form

     

       

General Inquiries

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