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Ontario Telemedicine Network eConsult (Specialty or Recipient: GeriMedRisk)
Champlain BASE™ eConsult (Specialty: GeriMedRisk)
Regions: Champlain, Hamilton Niagara Haldimand Brant and North Simcoe Muskoka
Click on the region below to download intake form:
North Simcoe Muskoka
Hamilton Niagara Haldimand Brant
What is GeriMedRisk?
Physicians, nurse practitioners and specialists are welcome to submit a referral for their patient by fax using this referral form.
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:
If you are interested in hearing more about GeriMedRisk, please contact us using the form below.