Make a Referral - GeriMedRisk

Clinicians can make a referral to GeriMedRisk using one of the options below.

Electronic Referral

eConsult

Submit through Ontario Telemedicine Network or Champlain BASE™ eConsult and select GeriMedRisk as the specialty or recipient.

Ontario Telemedicine Network eConsult
Specialty or Recipient: GeriMedRisk
Champlain BASE™ eConsult
Specialty: GeriMedRisk

Electronic Referral

Ocean eReferral

Submit an Ocean eReferral by selecting “GeriMedRisk” on the Waterloo Wellington Specialized Geriatric Service Clinical Intake Form.

Open Ocean eReferral

Fax Referral

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

Regional Intake Forms

Specialized Geriatric Services Intake Forms

Specialized Geriatric Services intake forms are available for the following regions: Champlain, Hamilton Niagara Haldimand Brant, and North Simcoe Muskoka.

Contact GeriMedRisk

Clinicians may also contact GeriMedRisk by telephone or fax.

Telephone

1-855-261-0508

Call toll-free Monday to Friday, 9:00 AM-5:00 PM.

Fax

(519) 279-2959

Please email gmrfax@gerimedrisk.com to confirm the fax has been received.

Referral Forms and Resources

Overview

What is GeriMedRisk?

Download a one-page summary document with key information about GeriMedRisk.

Download One-Page Summary

Allied Health

Suggest a GeriMedRisk Referral

Allied health care professionals can use this referral communication form to share medication-related, physical, and mental health concerns with the patient’s primary care clinician when a GeriMedRisk consult may be appropriate.

Download Form

The allied health communication form provides the primary care provider with clinical information and can be used as part of a referral to GeriMedRisk from primary care, should they wish to consult.

How to Make a Referral